Cohen Sedgh, Manavi & Pakravan Dental Corp
Organization Active NPI Dental Clinic/Center · Artesia, CA
NPI 1104346246 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1104346246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
- Practice address
- 11635 E South Street
Artesia, CA 90701-6630 - Phone
- (562) 924-4401
- NPI assigned
- Jun 20, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Authorized official
- Name
- Miguel Reyes
- Title
- Q/a Contract & Compliance Manager
- Phone
- (310) 820-9933
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Cohen Sedgh Manavi Pakravan Dental Corporation
- Part of
- Cohen Sedgh Manavi Pakravan Dental Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
11635 E South Street
Artesia, CA 90701-6630
Mailing address
12121 Wilshire Blvd Ste 1111
Los Angeles, CA 90025-1188
Phone (310) 820-9933
Other names
- Children's Dental Building
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- Clontarf Manor, Inc.
- Cloran Home Health Services, Inc.
- Iliana Cobian
- Corazon Mahinan Physical Therapy Inc
- Brandy Coward
- Anna Belle C. Cruz
- Edward E Cruz
- Sarah Cupino
All providers in Artesia, CA · Dental Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.