NPIMap

Organization Active NPI

Mozhgan Molkara DDS,Inc.

  • Dental Clinic/Center
  • Lake Forest, CA
National Provider Identifier
1124513601
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
57555 Issued in CA
Legal business name
MOZHGAN MOLKARA DDS,INC.
Practice address
21991 El Toro Rd Ste 6
Lake Forest, CA 92630-6518
Phone
(949) 380-7788
Fax
(949) 380-8812
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Mozhgan Molkara, DDSNPI 1720239197
Title
President
Phone
(949) 380-7788

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
Dental Clinic/Center 261QD0000X 57555 CA Primary

Addresses

Primary practice location

21991 El Toro Rd Ste 6
Lake Forest, CA 92630-6518

Mailing address

21991 El Toro Rd Ste 6
Lake Forest, CA 92630-6518
Phone (949) 380-7788

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1124513601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21991 EL TORO RD STE 6",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306518",
            "telephone_number": "949-380-7788",
            "fax_number": "949-380-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21991 EL TORO RD STE 6",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306518",
            "telephone_number": "949-380-7788",
            "fax_number": "949-380-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOZHGAN MOLKARA DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "MOLKARA",
        "authorized_official_first_name": "MOZHGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-380-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.