Sorour Dental Group Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOROUR DENTAL GROUP CORP

Practice address

3173 Tweedy Blvd
South Gate, CA 90280-5739

Phone

(323) 564-4554

NPI assigned

Sep 11, 2017

Organization subpart

No

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

Authorized official

Name

Miss Selvana Sorour, D.M.DNPI 1679641146

Title

Vice President

Phone

(310) 795-3363

Specialties & licenses 1

Addresses

Tax ID family

All Kids Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sorour Dental Group Corp

  dba All Kids Dental Care

  • Dentist
  • Anaheim, CA
  • NPI 1609407584
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selvana Sorour, D.M.D

  • Dentist
  • Los Angeles, CA
  • NPI 1679641146
  NPD Authorized official

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1073032165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505805",
            "telephone_number": "310-795-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902805739",
            "telephone_number": "323-564-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR DENTAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "SELVANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-795-3363",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Solares
• Joshua Soler, MD
• Afaf Soliman, MD
• Sonia Canton Moran DDS a Dental Corporation
• Soraya Medical Group, Inc.
• South Gate Ambulatory Surgical Center, LLC
• South Gate Optometry
• South Gate Optometry Inc
• South Gate Pharmacy Inc
• Spring Fountain Physical Therapy Inc

• General Practice Dentistry in South Gate, CA
• Providers in South Gate, 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 Sep 11, 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.