Woodman Medical & Dental Care Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WOODMAN MEDICAL & DENTAL CARE INC

Practice address

8725 Woodman Ave
Arleta, CA 91331-6560

Phone

(818) 891-4455

Fax

(818) 891-5583

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Jahanbakhsh Nouri, M.DNPI 1366501629

Title

M.D

Phone

(818) 891-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodman Medical & Dental Care Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jahanbakhsh Nouri, M.D

  • General Practice Physician
  • Arleta, CA
  • NPI 1366501629

  Legal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1194911206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316560",
            "telephone_number": "818-891-4455",
            "fax_number": "818-891-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316560",
            "telephone_number": "818-891-4455",
            "fax_number": "818-891-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMAN MEDICAL & DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "JAHANBAKHSH",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "818-891-4455",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A534841",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodman Medical & Dental Care Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Woodman Dental Care
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• Lauren Hye Chin Yun, O.D.
• Natasha Yunas, PA-C
• Dominique Alexandrea Zatarain, PHARMD

• General Practice Physician in Arleta, CA
• Providers in Arleta, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.