Organization Active NPI

Valentina Goren DDS, Michael Goren DDS, a Professional Corporation

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1194965582
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VALENTINA GOREN DDS, MICHAEL GOREN DDS, A PROFESSIONAL CORPORATION
Practice address
14515 1/2 Victory Blvd
Van Nuys, CA 91411-1619
Phone
(818) 902-9999
Fax
(818) 902-9393
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Valentina Goren, D.D.S.
Title
Dentist
Phone
(818) 902-9999

Specialties & licenses 1

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

Addresses

Primary practice location

14515 1/2 Victory Blvd
Van Nuys, CA 91411-1619

Mailing address

14515 1/2 Victory Blvd
Van Nuys, CA 91411-1619
Phone (818) 902-9999

National Provider Directory

National Provider Directory

Locations

14515 Victory Blvd
Van Nuys, CA 91411
Phone (818) 809-2001

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1194965582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 1/2 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111619",
            "telephone_number": "818-902-9999",
            "fax_number": "818-902-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 1/2 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111619",
            "telephone_number": "818-902-9999",
            "fax_number": "818-902-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINA GOREN DDS, MICHAEL GOREN DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "GOREN",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-902-9999",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.