Dr Afzalis Lake Forest Lifetime Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

55014 Issued in CA

Legal business name

DR AFZALIS LAKE FOREST LIFETIME DENTAL GROUP PC

Practice address

23731 El Toro Rd Ste D
Lake Forest, CA 92630-8615

Phone

(949) 581-8108

NPI assigned

Feb 24, 2015

Last updated

Aug 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Azadeh M Afzali, DDS

Title

President

Phone

(949) 581-8108

Specialties & licenses 1

Addresses

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.

• Joshua Behnam Shayefar, DMD

  • Periodontics
  • Los Angeles, CA
  • NPI 1346780715

  Dentist

  NPD (past)

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1093107377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23731 EL TORO RD STE D",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308615",
            "telephone_number": "949-581-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23731 EL TORO RD STE D",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308615",
            "telephone_number": "949-581-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AFZALIS LAKE FOREST LIFETIME DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "AFZALI",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-581-8108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Dominguez, O.D.
• Vanessa Jacqueline Dominguez
• Shane Sarret Doney, D.C.
• Shadi Doroudian
• Christine Downing, LPCC
• Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC (Greenlight Chiropractic & Wellness Lab)
• Dr. Brett Long, Longevity Chiropractic, Inc
• Josh Drake, DC
• Miriam Stephens Drake, M.E.D
• Drchriscounseling LLC

• Dentist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.