Suzan Khajavi DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61587 Issued in CA

Legal business name

SUZAN KHAJAVI DDS, INC

Practice address

1075 E Pacific Coast Hwy
Suite D
Long Beach, CA 90806-5089

Phone

(562) 591-6070

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Suzan Cathryn Khajavi, DDS

Title

Owner

Phone

(562) 591-6070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1093056715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E PACIFIC COAST HWY",
            "address_2": "SUITE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065089",
            "telephone_number": "562-591-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E PACIFIC COAST HWY",
            "address_2": "SUITE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065089",
            "telephone_number": "562-591-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZAN KHAJAVI DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "KHAJAVI",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "CATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-591-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Sutton
• Bobbi Sutton, B.S.
• Deboria Sutton, R.N.
• Lindsey Anne Sutton, CCC-SLP
• Wiley Dewayne Sutton, PH.D
• Maja Svenson, CADC-CAS
• David K. Svigals, PHARM.D.
• Skye Swain
• Jennifer Swan, LCSW
• Sha'Neek Jon-Nye Swan

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, 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 Mar 5, 2013; 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.