Suzanne Khalili DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41096 Issued in CA

Legal business name

SUZANNE KHALILI DDS INC

Practice address

2550 E Slauson Ave Ste K2
Huntington Park, CA 90255-2889

Phone

(213) 765-8161

Fax

(678) 716-1428

NPI assigned

Jul 5, 2016

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Khalili, DENTISTNPI 1528035839

Title

Dentist

Phone

(310) 926-0352

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Suzanne Khalili, DDS

  • Dentist
  • Huntington Park, CA
  • NPI 1528035839
  Authorized official Same address or phone
• Arman Torbati, DDS

  • Prosthodontics
  • Los Angeles, CA
  • NPI 1093857674
  NPD (past)

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1154773968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 W PICO BLVD STE 950",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352720",
            "telephone_number": "213-765-8161",
            "fax_number": "678-716-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E SLAUSON AVE STE K2",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552889",
            "telephone_number": "213-765-8161",
            "fax_number": "678-716-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE KHALILI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-926-0352",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundaram Family Medical Clinic, Inc.
• Sunwoong Choi, DDS, MD, Dental Corp
• Ni Ketut Supiyati
• Natalie Sustaita, NURSE PRACTIONER
• Rhyannon Joan Sutherland
• Shakeela Swaby
• Sheila Syacuse
• Christopher Taft
• Tahani Soliman M.D., a Medical Corporation
• Eamonn Talkington

• General Practice Dentistry in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.