Active NPI
Lili Mirtorabi D.D.S a Professional Corporation
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
National Provider Identifier
1053895565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- LILI MIRTORABI D.D.S A PROFESSIONAL CORPORATION
- Practice address
- 2368 Pico Boulevard
Los Angeles, CA 90006 - Phone
- (844) 347-5794
- NPI assigned
- Sep 20, 2018
- Organization subpart
- Yes
- Parent organization
- LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriela Valdovinos
- Title
- Managing Director
- Phone
- (323) 228-9282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2368 Pico Boulevard
Los Angeles, CA 90006
Mailing address
7722 Seville Ave
Huntington Park, CA 90255-6316
Phone (844) 347-5794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020669521 | Other | CA | ORTHODONTIST |
National Provider Directory
National Provider Directory- Tax ID family
- Lili Mirtorabi DDS a Professional Corporation
- Part of
- Lili Mirtorabi DDS a Professional Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Anaheim, CA
- NPI 1881177178
Locations
2368 W Pico Blvd
Los Angeles, CA 90006
Phone (844) 347-5794
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Lili Mirtorabi Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- El Monte, CA
- NPI 1376875534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549584000000",
"number": "1053895565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7722 SEVILLE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902556316",
"telephone_number": "844-347-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2368 PICO BOULEVARD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "844-347-5794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILI MIRTORABI D.D.S A PROFESSIONAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION",
"enumeration_date": "2018-09-20",
"last_updated": "2019-02-08",
"status": "A",
"authorized_official_last_name": "VALDOVINOS",
"authorized_official_first_name": "GABRIELA",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "323-228-9282"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHODONTIST",
"identifier": "020669521",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.