CHARLES H UDOLPH (NPI# 1740273820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740273820 |
| Entity Type | Individual |
| Full Name | CHARLES H UDOLPH |
| Credential | DDS |
| Practice Address |
7345 Medical Center Dr Suite 330 West Hills CA 91307-1910 |
| Practice Telephone | 8183466282 |
| Practice Fax Number | 8183465174 |
| Mailing Telephone | 8183466282 |
| Mailing Fax Number | 8183465174 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
21659 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | B21659 | 01 |
| Street Address |
7345 MEDICAL CENTER DR SUITE 330 |
| City | WEST HILLS |
| State | CA |
| Zip Code | 91307-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598013427 | Judith S. Pabst, Dds, Inc. and Phaedra Deukmedjian, Dds, Inc. | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2012-08-27 |
| 1285925719 | Shervin Aminpour Md PC | Otolaryngology | 7345 Medical Center Dr, 540, West Hills, CA 91307-1910 | 2011-05-02 |
| 1942590542 | Soodeh Nili | Internal Medicine | 7345 Medical Center Dr, Suite 600, West Hills, CA 91307-1910 | 2011-04-15 |
| 1023310133 | Marshall M. Graditor, M.d. Inc | Specialist | 7345 Medical Center Dr, Suite # 320, West Hills, CA 91307-1910 | 2010-11-22 |
| 1427283340 | Meir David Hershcovitch | Otolaryngology | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2009-05-21 |
| 1144494261 | Jerome Dickman, M.d., Inc | Clinic/Center | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2008-04-18 |
| 1790960888 | Bob B. Armin | Otolaryngology | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2008-01-08 |
| 1790975597 | Shukan C Kanuga | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2007-07-27 |
| 1821214784 | Phaedra Deukmedjian | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1963 | 2007-04-18 |
| 1447373253 | Quality Hearing Inc. | Audiologist-Hearing Aid Fitter | 7345 Medical Center Dr, Suite 540, West Hills, CA 91307-1910 | 2007-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1447785035 | Natalie Rubinstein | Speech-Language Pathologist | 6708 Faust Ave, West Hills, CA 91307 | 2017-04-20 |
| 1649721473 | Shouridge Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6705 Shoup Avenue, West Hills, CA 91307 | 2016-10-17 |
| 1497206205 | Victory Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 22455 Victory Blvd, West Hills, CA 91307 | 2016-10-17 |
| 1881141406 | Shoup Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6450 Shoup Avenue, Woodland Hills, CA 91307 | 2016-09-01 |
| 1407216047 | Shahriar Rezania | Pharmacist | 7300 Medical Center Drive, West Hills, CA 91307 | 2016-02-24 |
| 1780057570 | Renee J Schuster-weiss | Marriage & Family Therapist | 6909 Minstrel Ave, West Hills, CA 91307 | 2015-11-03 |
| 1548649791 | Rozita Amirian | Pharmacist | 7230 Medical Center Dr Ste 106, West Hills, CA 91307 | 2015-05-20 |
| 1629462643 | Lorna David | Occupational Therapist | 7045 Sale Avenue, West Hills, CA 91307 | 2015-03-27 |
| Find all providers in zip 91307 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528245263 | Mahvash Shayan A Professional Dental Corporation | Dentist | 23101 Sherman Pl Ste 201, West Hills, CA 91307-2019 | 2008-01-24 |
| 1598013427 | Judith S. Pabst, Dds, Inc. and Phaedra Deukmedjian, Dds, Inc. | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2012-08-27 |
| 1790975597 | Shukan C Kanuga | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2007-07-27 |
| 1821214784 | Phaedra Deukmedjian | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1963 | 2007-04-18 |
| 1427170158 | Judith Sturr Pabst Hayes | Dentist | 7345 Medical Center Dr, #330, West Hills, CA 91307 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST HILLS |
| Zip Code | 91307 |
Please comment or provide details below to improve the information on CHARLES H UDOLPH.
| 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.