FARIBORZ RODEF DENTAL CORPORATION (NPI# 1780205047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780205047 |
| Entity Type | Organization |
| Organization Name | FARIBORZ RODEF DENTAL CORPORATION |
| Other Organization Name | CHILDRENS DENTAL FUNZONE |
| Practice Address |
233 South Fremont Ave Alhambra CA 91801 |
| Mailing Address |
2225 E. Garvey Ave N. West Covina CA 91791 |
| Practice Telephone | 6264120200 |
| Mailing Telephone | 6264120200 |
| Mailing Fax Number | 6262140037 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | FARIBORZ RODEF (PRESIDENT) |
| Authorized Official Telephone | 6264120200 |
| Is Organization Subpart | Y |
| Parent Organization Name | FARIBORZ RODEF DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Childrens Dental Funzone | Doing Business As Name - Organization |
| Street Address |
233 SOUTH FREMONT AVE |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650407 | Natalia Ayelen Park | Counselor | 423 S Monterey St, Alhambra, CA 91801 | 2017-10-17 |
| 1427577253 | Thomas John Andre | Physical Therapist | 927 N Bushnell Ave, Alhambra, CA 91801 | 2017-09-13 |
| 1902323173 | Aba Effects, LLC | Behavioral Analyst | 41 N Garfield Ave Ste 207, Alhambra, CA 91801 | 2017-08-28 |
| 1083134548 | Yulan Wang | Acupuncturist | 20 Hampton Ct., Alhambra, CA 91801 | 2017-06-26 |
| 1285175877 | Lac Usc Medical Center | General Acute Care Hospital | 504 N 2nd St, Apt B, Alhambra, CA 91801 | 2017-03-15 |
| 1679015432 | Eric Wong Chiropractic, PC | Acupuncturist | 723 S. Garfield Ave, Suite 202, Alhambra, CA 91801 | 2016-11-10 |
| 1255794012 | Andrew C Lo | Physical Therapist | 89 E Commonwealth Ave, Unit 1e, Alhambra, CA 91801 | 2016-03-30 |
| 1902291610 | Wai-mei Wong | Dietitian, Registered | 100 S. Raymond Avenue, Alhambra, CA 91801 | 2015-03-30 |
| 1316337884 | Thera Med Rehabilitation Inc. | Case Management | 600 W Main St, #107, Alhambra, CA 91801 | 2015-02-04 |
| 1457741464 | Jian Ching Ren | Acupuncturist | 1502 S Stoneman Ave, Alhambra, CA 91801 | 2015-01-28 |
| Find all providers in zip 91801 | ||||
| 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 |
|---|---|---|---|---|
| 1548278500 | Huey-ju Grace Yeh | Dentist | 1148 S Garfield Ave, Alhambra, CA 91801 | 2006-08-04 |
| 1285810036 | Dr. Mak Dental Corp. | Dentist | 1234 S Garfield Ave, Suite 108, Alhambra, CA 91801-5065 | 2008-01-10 |
| 1386820272 | H.grace Yeh Dds Inc | Dentist | 1148 S Garfield Ave, Alhambra, CA 91801-4713 | 2008-01-10 |
| 1376672980 | Gilbert K Mak | Dentist | 1234 S Garfield Ave, Suite 108, Alhambra, CA 91801-5065 | 2007-03-02 |
| 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 | ||||
Please comment or provide details below to improve the information on FARIBORZ RODEF DENTAL CORPORATION.
| 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.