DR. MOJTABA GHALAMBOR


Address: 255 S Grand Ave Ste 204, Los Angeles, CA 90012-3035
Phone: 2136205777

DR. MOJTABA GHALAMBOR (NPI# 1689235871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689235871
Entity Type Individual
Full Name DR. MOJTABA GHALAMBOR
Credential DDS
Practice Address 255 S Grand Ave Ste 204
Los Angeles
CA 90012-3035
Mailing Address 1328 Paseo Alamos
San Dimas
CA 91773-4239
Practice Telephone 2136205777
Mailing Telephone 6264888515
Enumeration Date 2019-06-27
Last Update Date 2019-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
103876 CA Dental Providers

Office Location

Street Address 255 S GRAND AVE STE 204
City LOS ANGELES
State CA
Zip Code 90012-3035

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1033667662 Olga Witrago Case Manager/Care Coordinator 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 2016-09-12
1902269962 Samantha Martinez Licensed Practical Nurse 701 West Cesar Chavez Av, Los Angeles, CA 90012 2016-03-29
1760847313 Maria Emilia Manosa Rosales Social Worker 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 2015-12-28
1609242999 Hilary Adams Psychologist 250 E 1st St Ste 300, Los Angeles, CA 90012 2015-08-20
1831586288 Thanh Ngoc Nguyen Trinh Nurse Practitioner 180 N Los Angeles St, Los Angeles, CA 90012 2015-04-23
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295349082 Reza Mehr Dentist 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 2020-08-31
1396355590 Kamyar Moradian Dentist 9201 Venice Blvd, Los Angeles, CA 90034-3324 2020-08-04
1669096160 Leora H Sheily Dds PC Dentist 4852 Melrose Ave, Los Angeles, CA 90029-3736 2020-06-01
1013539535 Smit Dangaria Dds Phd Inc Dentist 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 2020-05-07
1912530585 Sara Bahri Sabokpey Dentist 2001 Stradella Rd, Los Angeles, CA 90077-2322 2020-02-21
1518504497 Jonathan Dye Dentist 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 2019-12-10
1972147940 Catherine Margary Cuaco Begazo Dentist 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 2019-11-03
1386285427 Jefferson Dental Corporation Dentist 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 2019-09-30
1043868698 Semyon Segal Dentist 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 2019-08-27
1144875592 Jay Singh Dentist 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 2019-08-02
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Competitor

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City LOS ANGELES
Zip Code 90012

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Dataset Information

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.

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