Organization Active NPI

Owrang Dastmalchi DO Inc

  • Specialist
  • Laguna Hills, CA
National Provider Identifier
1134203771
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A8369 Issued in CA
Legal business name
OWRANG DASTMALCHI DO INC
Practice address
23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Phone
(949) 215-5055
Fax
(949) 326-5099
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Owrang Dastmalchi, DONPI 1922049188
Title
President
Phone
(949) 735-5500

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20A8369 CA Primary

Addresses

Primary practice location

23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341

Mailing address

23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Phone (949) 215-5055

National Provider Directory

National Provider Directory

Locations

24541 Pacific Park Dr
Ste 205
Aliso Viejo, CA 92656
Phone (949) 215-5437

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1134203771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 VERDUGO DR STE 201",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531341",
            "telephone_number": "949-215-5055",
            "fax_number": "949-326-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 VERDUGO DR STE 201",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531341",
            "telephone_number": "949-215-5055",
            "fax_number": "949-326-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWRANG DASTMALCHI DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "DASTMALCHI",
        "authorized_official_first_name": "OWRANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-735-5500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A8369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.