Jaleh Jasmin Gandjeh, Rdhap, Inc.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

JALEH JASMIN GANDJEH, RDHAP, INC.

Doing business as

Tooth Fairy Dental Hygiene

Practice address

18210 Sherman Way
Suite 207
Reseda, CA 91335-4554

Phone

(818) 344-1121

Fax

(818) 344-1131

NPI assigned

Jul 31, 2007

Last updated

Jul 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jaleh Jasmin Gandjeh, RDHAPNPI 1255486379

Title

President

Phone

(818) 344-1121

Specialties & licenses 1

Addresses

Other names 1

• Tooth Fairy Dental Hygiene Doing business as

Locations

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.

• Jaleh Jasmin Gandjeh, RDHAP

  • Dental Hygienist
  • Reseda, CA
  • NPI 1255486379
  NPD (past) Authorized official

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1205026739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21157 LASSEN ST",
            "address_2": "UNIT 2",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116813",
            "telephone_number": "818-344-1121",
            "fax_number": "818-344-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 SHERMAN WAY",
            "address_2": "SUITE 207",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354554",
            "telephone_number": "818-344-1121",
            "fax_number": "818-344-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALEH JASMIN GANDJEH, RDHAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "GANDJEH",
        "authorized_official_first_name": "JALEH",
        "authorized_official_middle_name": "JASMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-344-1121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Fairy Dental Hygiene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Hygienist in Reseda, CA
• Providers in Reseda, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.