Active NPI
Yousefi, Rodef & Yaghoubi Dental Corporation
- Pediatric Dentistry
- Los Angeles, CA
National Provider Identifier
1124464508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- YOUSEFI, RODEF & YAGHOUBI DENTAL CORPORATION
- Practice address
- 8525 W Pico Blvd
Los Angeles, CA 90035-2409 - Phone
- (310) 625-3773
- Fax
- (323) 255-9634
- NPI assigned
- May 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fariborz Rodef, DDS
- Title
- Secretary
- Phone
- (310) 625-3773
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
8525 W Pico Blvd
Los Angeles, CA 90035-2409
Mailing address
8950 W Olympic Blvd
# 343
Beverly Hills, CA 90211-3561
Phone (310) 625-3773
Other names 1
- Children's Dental Fun Zone
National Provider Directory
National Provider DirectoryLocations
8950 W Olympic Blvd
#343
Beverly Hills, CA 90211
8525 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 625-3773
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- West Covina, CA
- NPI 1548357262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368403200000",
"number": "1124464508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 W OLYMPIC BLVD",
"address_2": "# 343",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113561",
"telephone_number": "310-625-3773",
"fax_number": "323-255-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352409",
"telephone_number": "310-625-3773",
"fax_number": "323-255-9634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUSEFI, RODEF & YAGHOUBI DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A",
"authorized_official_last_name": "RODEF",
"authorized_official_first_name": "FARIBORZ",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "310-625-3773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Dental Fun Zone",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.