Organization Active NPI

Angelica Chaghouri DDS a Professional Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodland Hills, CA
National Provider Identifier
1104607456
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ANGELICA CHAGHOURI DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
20301 Ventura Blvd Ste 220
Woodland Hills, CA 91364-0931
Phone
(310) 623-2226
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Dr. Angelica Chaghouri, DDSNPI 1447875554
Title
President
Phone
(310) 623-2226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

20301 Ventura Blvd Ste 220
Woodland Hills, CA 91364-0931

Mailing address

2665 34TH St
Santa Monica, CA 90405-3114
Phone (310) 623-2226

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1104607456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 34TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053114",
            "telephone_number": "310-623-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 220",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640931",
            "telephone_number": "310-623-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA CHAGHOURI DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "CHAGHOURI",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-623-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.