MAHA M. BOULOS DDS, INC. (NPI# 1679174171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679174171 |
| Entity Type | Organization |
| Organization Name | MAHA M. BOULOS DDS, INC. |
| Practice Address |
23332 Hawthorne Blvd Torrance CA 90505-3749 |
| Mailing Address |
2011 Belmont Ln # A Redondo Beach CA 90278-4907 |
| Practice Telephone | 2062293854 |
| Mailing Telephone | 2062293854 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | DR. MAHA BOULOS (DENTIST) |
| Authorized Official Telephone | 2062293854 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
23332 HAWTHORNE BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543169 | Skypark Physical Therapy, Inc | Physical Therapist | 23332 Hawthorne Blvd, Bldg #9, Suite 202, Torrance, CA 90505-3749 | 2006-01-25 |
| 1942800586 | Maha M. Boulos | Dentist | 23332 Hawthorne Blvd, Torrance, CA 90505-3749 | 2020-10-30 |
| 1851932552 | Stephen John Mathew | Physical Therapist | 23332 Hawthorne Blvd, Torrance, CA 90505-3749 | 2019-10-03 |
| 1578002044 | Anna Davydov | Dentist | 23332 Hawthorne Blvd, Suite 102, Torrance, CA 90505-3749 | 2017-02-17 |
| 1144671215 | Donna Savage | Marriage & Family Therapist | 23332 Hawthorne Blvd, Suite 205, Torrance, CA 90505-3749 | 2016-06-29 |
| 1114316072 | Skypark Physical Therapy & Rehabilitation | Clinic/Center | 23332 Hawthorne Blvd, Suite 202, Torrance, CA 90505-3749 | 2015-01-15 |
| 1194090381 | Christopher Kiyoshi Koyanagi | Physical Therapist | 23332 Hawthorne Blvd, Suite 202, Torrance, CA 90505-3749 | 2012-03-20 |
| 1366752040 | Margaret Theeuwes Enterprises Inc | Home Health | 23332 Hawthorne Blvd, Suite 203, Torrance, CA 90505-3749 | 2010-10-15 |
| 1811206857 | Susan Eileen Goldman-shaw | Physical Therapist | 23332 Hawthorne Blvd, Suite 202, Torrance, CA 90505-3749 | 2010-09-24 |
| 1922317973 | Rachel Grierson | Physical Therapist | 23332 Hawthorne Blvd, Suite #202, Torrance, CA 90505 | 2010-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717230 | Daniel Inouye | Dentist | 22850 Crenshaw Blvd Ste 102, Torrance, CA 90505-3055 | 2020-07-12 |
| 1174143747 | Dunlap Dentistry | Dentist | 3400 Lomita Blvd Ste 406, Torrance, CA 90505-4991 | 2020-04-23 |
| 1760953772 | O.h. Barkhordar Dental Group, Inc | Dentist | 23609 Hawthorne Blvd Ste B, Torrance, CA 90505-5903 | 2018-12-17 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1164941068 | Angela Beatrice Fedonenko | Dentist | 2171 Torrance Blvd Ste 1, Torrance, CA 90501-2657 | 2017-09-12 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1063949493 | Ahmad Zafar Karimi | Dentist | 4906 Halison St, Torrance, CA 90503-2048 | 2017-05-16 |
| 1306370796 | Steven Yun | Dentist | 2740 Arlington Ave Apt G, Torrance, CA 90501-7612 | 2017-04-12 |
| 1013467463 | Javid Dental Corporation | Dentist | 24667 Crenshaw Blvd, Suite D, Torrance, CA 90505-5360 | 2016-10-10 |
| Find all providers in TORRANCE | ||||
Please comment or provide details below to improve the information on MAHA M. BOULOS DDS, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.