Ganji and Ganji Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58334 Issued in CA

Legal business name

GANJI AND GANJI DENTAL CORPORATION

Practice address

20401 Avalon Blvd Ste a
Carson, CA 90746-3226

Phone

(310) 217-1507

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

David Ganji

Title

Owner

Phone

(818) 439-9954

Specialties & licenses 1

Addresses

Other names 1

• Washington Dental Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reza Moghbel, DDS

  • Dentist
  • Carson, CA
  • NPI 1174923338
  NPD (past)

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1154780062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 AVALON BLVD STE A",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463226",
            "telephone_number": "310-217-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 AVALON BLVD STE A",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463226",
            "telephone_number": "310-217-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANJI AND GANJI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "GANJI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-439-9954"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Dental Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Delisa Friar, PH.D
• Junko M Fujita, PHARMD
• Carolina Funk, RN
• Irina Gaal, M.D.
• Eduardo Gabuten, DMD
• Adelyn Nicole Garcia
• Adrina P Garcia
• Magno Alejandro Garcia
• Rosa Maria Garcia
• Garfield Beach CVS LLC

• General Practice Dentistry in Carson, CA
• Providers in Carson, 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 Feb 19, 2016; 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.