NPIMap

Organization Active NPI

Soheil Jourabchi D.D.S Inc.

Doing business as 21st century smile

  • 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.
Doing business as
21st century smile
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
Last updated
Dec 2, 2009By the provider in NPPES
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.SNPI 1396857785
Title
Owner
Phone
(323) 585-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

Practitioners 1

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.

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.