Goel, Cohen & Riazi Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GOEL, COHEN & RIAZI DENTAL CORP

Practice address

3108 Highway 76
Fallbrook, CA 92028-9318

Phone

(760) 723-1193

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

John Cohen

Title

President

Phone

(310) 749-8013

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1003428822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 HIGHWAY 76",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920289318",
            "telephone_number": "760-723-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 HIGHWAY 76",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920289318",
            "telephone_number": "760-723-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOEL, COHEN & RIAZI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-749-8013"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCA LICENSE",
            "identifier": "40423",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce T Gipe, MD
• John Campbell Girdler
• Beverly Lynn Gisler
• Richard G Goble, DDS
• Goel & Cohen Dental Corpration
• Gokul Corporation
• Gokul Corporation
• Golden Bloom Villa, Inc
• Golden Gardens Rcfe
• Theodore George Goldfarab, M.D.

• Dental Clinic/Center in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.