Khoshrozeh Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43990 Issued in CA

Legal business name

KHOSHROZEH DENTAL CORPORATION

Doing business as

California Family Dental Group

Practice address

4080 Whittier Blvd
Los Angeles, CA 90023-2527

Phone

(323) 582-4744

Fax

(323) 582-3101

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mehrdad KhoshrozehNPI 1598802704

Title

Owner/ President

Phone

(310) 386-8246

Specialties & licenses 10

Addresses

Other identifiers 1

Other names 1

• CALIFORNIA FAMILY DENTAL GROUP Doing business as

Locations

Practitioners 6

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

• Mehrdad Khoshrozeh

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1598802704
  NPD Authorized official
• Inocente David Arias

  • Dental Hygienist
  • Los Angeles, CA
  • NPI 1083452627
  NPD
• Albert Luan, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1174063937
  NPD
• Kambiz Khalilinejad, DMD

  • Dentist
  • Downey, CA
  • NPI 1790296986
  NPD (past)
• Tuvia Zinman, DDS

  • General Practice Dentistry
  • Pacoima, CA
  • NPI 1447351127
  NPD (past)
• Babak Abrishami

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1497892699
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1003953126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232527",
            "telephone_number": "323-582-4474",
            "fax_number": "323-582-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232527",
            "telephone_number": "323-582-4744",
            "fax_number": "323-582-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOSHROZEH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KHOSHROZEH",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "310-386-8246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "49906",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43990",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43515",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49909",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53064",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53901",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "30624",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "73479",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "A91274",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "20482",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL OFFICE NUMBER",
            "identifier": "G91571-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA FAMILY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moez Khorsandi, D.O., FACOS
• Pedram Joseph Khorsandi, MD
• Mohammad Mahdi Khoshchehreh Jamalai
• Zeyad Akram Khoshhal, MBBS (MD EQUIVALENT)
• Zhirayr Jerry Khoshoryan
• Mehrdad Khoshrozeh
• Harpal Singh Khosla Jr.
• Khosro Vahid, M.D. a Medical Corporation
• Ali M Khosrovani, DDS
• Channelle Khoubian, PHARMD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.