Alamitos Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

56129 Issued in CA

Legal business name

ALAMITOS ORAL SURGERY

Practice address

4582 Katella Avenue
Los Alamitos, CA 90720

Phone

(310) 279-0993

NPI assigned

Feb 11, 2014

Organization subpart

No

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

Authorized official

Name

Solomon Poyourow, D.D.S., M.D., M.P.H.

Title

Oral Surgeon/Co-Owner

Phone

(310) 279-0993

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1043634124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 KATELLA AVENUE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4582 KATELLA AVENUE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "310-279-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMITOS ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "POYOUROW",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "ORAL SURGEON/CO-OWNER",
        "authorized_official_telephone_number": "310-279-0993",
        "authorized_official_credential": "D.D.S., M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56129",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55453",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "58092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alamitos Associates in OBGYN, Inc.
• Alamitos Dermatological Medical Clinic a Professional Corp
• Alamitos Eye Care an Optometric Corporation
• Alamitos Eye Care, an Optometric Corporation
• Alamitos Eye Care, Inc.
• Alamitos Physical Therapy
• Alamitos Podiatry Group
• Alamitos Reagan Anesthesia Corporation
• Alamitos Renal Medical Group Inc
• Alban Wertheimer Orthopaedic Group

• Oral and Maxillofacial Surgery (Dentist) in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.