NPIMap

Organization Active NPI

Diane Boval DDS a Professional Dental Corp

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1104766849
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP
Practice address
21729 Vanowen St
Canoga Park, CA 91303-2618
Phone
(562) 356-0948
NPI assigned
Mar 31, 2026
Organization subpart
Yes
Parent organization
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Alan Boval
Title
Ceo
Phone
(562) 905-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21729 Vanowen St
Canoga Park, CA 91303-2618

Mailing address

901 W Whittier Blvd
La Habra, CA 90631-3743
Phone (562) 352-0397

Other names 1

  • Gold Coast Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diane Boval DDS a Professional Dental Corp29 organizations share this tax ID, including this one
Part of
Diane Boval DDS a Professional Dental Corp

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

901 W Whittier Blvd
La Habra, CA 90631
Phone (562) 905-8338

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1104766849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313743",
            "telephone_number": "562-352-0397",
            "fax_number": "562-265-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21729 VANOWEN ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032618",
            "telephone_number": "562-356-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "BOVAL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-905-8338"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.