Farhad Lalezarzadeh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

44329 Issued in CA

Practice address

3559 E. Gage Ave.
Bell, CA 90201

Phone

(323) 923-3710

Fax

(323) 923-3709

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lalezarzadeh DDS Corporation

  • Dentist
  • Bell, CA
  • NPI 1720280456
  Authorized official Same address or phone

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144304759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 GAGE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011042",
            "telephone_number": "323-923-3710",
            "fax_number": "323-923-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 E. GAGE AVE.",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-923-3710",
            "fax_number": "323-923-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALEZARZADEH",
        "first_name": "FARHAD",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9360401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yeji Kang, DDS
• Parisa Khani
• Khulood Y. Cotta M.D.
• Melissa Andrea Jimenez Lacayo, PA-C
• Lalezarzadeh DDS Corporation
• Jose Milton Lara, M.D.
• Monica Lara, PA-C
• Clarissa Lechuga
• Chang Joon Lee, M.D.
• Kyong Mu Lee, DDS

• Dentist in Bell, CA
• Providers in Bell, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.