H.R.Imankhan,DDS,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

46073 Issued in CA

Legal business name

H.R.IMANKHAN,DDS,INC

Practice address

11395 Atlantic Ave
Lynwood, CA 90262-2485

Phone

(310) 639-0884

Fax

(310) 639-0013

NPI assigned

Mar 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hamid Reza Imankhan, DDSNPI 1376695825

Title

President/Owner

Phone

(310) 639-0884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamid Reza Imankhan, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1376695825
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1003115312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11395 ATLANTIC AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622485",
            "telephone_number": "310-639-0884",
            "fax_number": "310-639-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11395 ATLANTIC AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622485",
            "telephone_number": "310-639-0884",
            "fax_number": "310-639-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.R.IMANKHAN,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "IMANKHAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-639-0884",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G893997-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lynette Desha Hamilton, LCSW
• Whitney Hammock
• Latoya A Hampton

• Dentist in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.