Hossein Malakooti a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HOSSEIN MALAKOOTI A DENTAL CORPORATION

Practice address

16540 Merrill Ave
Fontana, CA 92335

Phone

(909) 600-7126

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Hossein Malakooti, DDSNPI 1508011768

Title

Dentist

Phone

(909) 600-7126

Specialties & licenses 1

Addresses

Other names 1

• Perla Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hossein Malakooti, DDS

  • Dentist
  • Orange, CA
  • NPI 1508011768
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1104425131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6598 E FORDHAM CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928075010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16540 MERRILL AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-600-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSSEIN MALAKOOTI A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "MALAKOOTI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-600-7126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perla Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley F Horiuchi
• Layloni L Gail Horton
• Nicholas Horton
• Agnes G. Horvath, MD
• Sawyer Jo Hoskins
• Deauna Houston
• Joshua Alfonso Howard Jr.
• Philip E Howard
• Patricia C. Hsia, MD
• Russell Mike Hsieh, M.D.

• Dental Clinic/Center in Fontana, CA
• Providers in Fontana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.