Sorour D.M.D Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOROUR D.M.D CORPORATION

Doing business as

jungle Dental

Practice address

4138 Maine Ave Ste M2
Baldwin Park, CA 91706-3302

Phone

(310) 795-3363

NPI assigned

Nov 27, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

Yes

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

Authorized official

Name

Dr. Tharwat Sorour, DMD

Title

President

Phone

(310) 795-3363

Specialties & licenses 1

Addresses

Other names 1

• jungle Dental Doing business as

Tax ID family

Sorour DMD Corporation2 organizations share this tax ID, including this one

Part of

Sorour DMD Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sorour D.M.D Corporation

  dba Jungle Dental

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1427562594
  NPD tax ID

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1063926137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 MAINE AVE STE M2",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063302",
            "telephone_number": "310-795-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 MAINE AVE STE M2",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063302",
            "telephone_number": "310-795-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR D.M.D CORPORATION",
        "organizational_subpart": "YES",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "THARWAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-795-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jungle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemary D Soliz, MD
• Ellen C Song, NP
• Gregory J. Song, MD
• Cherry Canlas Soriano
• Sylvia Maria Soriano, LCSW
• Vincenza D. Sorrells, MD
• Josephine Rae Sotto
• Southern California Permanente Medical Group
• Mark T. Speakman, MD
• Howard M. Speil, MD

• General Practice Dentistry in Baldwin Park, CA
• Providers in Baldwin Park, 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 27, 2017; 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.