Sorour Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOROUR DENTAL CORPORATION

Practice address

14415 Chase St
Panorama City, CA 91402-3017

Phone

(818) 830-9050

Fax

(818) 830-9025

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Selvana Sorour, D.M.D

Title

Vice President

Phone

(310) 795-3363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1154860872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 CHASE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023017",
            "telephone_number": "818-830-9050",
            "fax_number": "818-830-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 CHASE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023017",
            "telephone_number": "818-830-9050",
            "fax_number": "818-830-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "SELVANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-795-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert M. Song, MD
• Tara Elena Song, MD
• Annie Catherine Soo, DPT
• Erlyn De Jesus Soriano, NP
• Tammy Ann Soro
• Sorours Dental Group
• Debra L Sortino, PA
• Southern California Permanente Medical Group
• Southlands Medical Clinic
• Southwest Psychology Medical Centers, Inc.

• Dentist in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.