Sina Edalat DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SINA EDALAT DDS, INC

Practice address

1739 Colorado Blvd
Los Angeles, CA 90041-1348

Phone

(323) 344-0682

NPI assigned

Nov 21, 2019

Last updated

Mar 15, 2023By 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

Dr. Sina Edalat, DDSNPI 1790167336

Title

President

Phone

(323) 344-0682

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.

• Sina Edalat, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1790167336
  NPD Authorized official
• Erwyn Jay Ignacio, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1134391378
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1174169452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424943",
            "telephone_number": "818-934-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411348",
            "telephone_number": "323-344-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA EDALAT DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "EDALAT",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-344-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sin Fronteras Health and Wellness Center
• Sin Fronteras Medical Clinic
• Kin Sin-Rong
• Amy Sin
• Ik Cheol Sin, L.AC
• Sina Edalat Dental Group, Inc
• Sina Infectious Diseases Medical Associates, Inc
• Sina Surgery Inc
• Mehran Sina, MD
• Sinai Medical Transport, Inc.

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

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