Marjan Mohammadi DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49940 Issued in CA

Legal business name

MARJAN MOHAMMADI DDS INC

Practice address

550 N Larchmont Blvd Ste 103
Los Angeles, CA 90004-1318

Phone

(323) 962-6000

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Marjan MohammadiNPI 1073695664

Title

Ceo

Phone

(323) 962-6000

Specialties & licenses 1

Addresses

Tax ID family

Marjan Mohammadi DDS Inc2 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.

• Marjan Mohammadi D.D.S. Inc.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1679005045
  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.

• Marjan Mohammadi, DDS

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1073695664
  NPD Authorized official

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1093069221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N LARCHMONT BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041318",
            "telephone_number": "323-962-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N LARCHMONT BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041318",
            "telephone_number": "323-962-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJAN MOHAMMADI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-962-6000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maykayla Melody Mariscal
• Marissa Lagusay-Templo D.D.S. Inc.
• Marita Kaw
• Maritone Suansing-Olaer, DDS, Inc.
• Marjan Mohammadi D.D.S. Inc.
• Ani Marjanian
• Mark a Moses DDS Inc
• Mark B Lieberman DDS Inc
• Mark Costopoulos DPM
• Mark Davidson MD Inc

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.