Edalatpajouh & Kalat Dental Practice

Primary specialty

DentistTaxonomy code 122300000X

License

40811 Issued in CA

Legal business name

EDALATPAJOUH & KALAT DENTAL PRACTICE

Practice address

6832 De Soto Ave
Canoga Park, CA 91303

Phone

(818) 888-2211

Fax

(818) 888-2925

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Faramarz Edalatpajouh

Title

President

Phone

(818) 888-2211

Specialties & licenses 2

Addresses

Other names 1

• De Soto Dental Practice Other name

Tax ID family

De Soto Dental Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Edalat Pajouh S Kalai Dental Corp

  • Dentist
  • Canoga Park, CA
  • NPI 1205908795
  NPD tax ID

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184634693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 DE SOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91303",
            "telephone_number": "818-888-2211",
            "fax_number": "818-888-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 DE SOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91303",
            "telephone_number": "818-888-2211",
            "fax_number": "818-888-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDALATPAJOUH & KALAT DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDALATPAJOUH",
        "authorized_official_first_name": "FARAMARZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-888-2211"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40811",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Soto Dental Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kiana Ebadi Taherkhani
• Ebi Nikjoo Dental Corp
• Natalie Ebrahim, MFT INTERN
• George Echeverria
• Edalat Pajouh S Kalai Dental Corp
• Edmond Rassibi, D.M.D., Professional Corporation
• Kieneisha Edwards
• El Centro de Amistad
• El Centro de Amistad, Inc
• El Centro de Amistad, Inc.

• Dentist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.