Organization Active NPI

Soheil Jourabchi D.D.S Inc.

  • General Practice Dentistry
  • Huntington Park, CA
National Provider Identifier
1194920876
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42336 Issued in CA
Legal business name
SOHEIL JOURABCHI D.D.S INC.
Practice address
5600 Pacific Blvd
Suite a
Huntington Park, CA 90255-2537
Phone
(323) 585-2100
Fax
(323) 585-6545
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Soheil Jourabchi, D.D.S
Title
Owner
Phone
(323) 585-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42336 CA Primary

Addresses

Primary practice location

5600 Pacific Blvd
Suite a
Huntington Park, CA 90255-2537

Mailing address

5600 Pacific Blvd
Suite a
Huntington Park, CA 90255-2537
Phone (323) 585-2100

Other names 1

  • 21st century smile Doing business as

National Provider Directory

National Provider Directory

Locations

5600 Pacific Blvd
Ste A
Huntington Park, CA 90255
Phone (323) 585-2100

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1194920876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 PACIFIC BLVD",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552537",
            "telephone_number": "323-585-2100",
            "fax_number": "323-585-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 PACIFIC BLVD",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552537",
            "telephone_number": "323-585-2100",
            "fax_number": "323-585-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEIL JOURABCHI D.D.S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "JOURABCHI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-585-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "21st century smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.