NPIMap

Organization Active NPI

Edalat Pajouh S Kalai Dental Corp

  • Dentist
  • Canoga Park, CA
National Provider Identifier
1205908795
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41739 Issued in CA
Legal business name
EDALAT PAJOUH S KALAI DENTAL CORP
Practice address
6832 Desoto Ave
Canoga Park, CA 91303
Phone
(818) 888-2211
Fax
(818) 888-2915
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Kambiz Kalai, DDS
Title
Secretary
Phone
(818) 888-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41739 CA Primary

Addresses

Primary practice location

6832 Desoto Ave
Canoga Park, CA 91303

Mailing address

6832 Desoto Ave
Canoga Park, CA 91303
Phone (818) 888-2211

Other names 1

  • DeSoto Dental Practice of Edalat PaJouh S Kalai Dental Corp Doing business as

National Provider Directory

National Provider Directory
Tax ID family
De Soto Dental Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1205908795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 DESOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91303",
            "telephone_number": "818-888-2211",
            "fax_number": "818-888-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 DESOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91303",
            "telephone_number": "818-888-2211",
            "fax_number": "818-888-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDALAT PAJOUH S KALAI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "KALAI",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-888-2211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeSoto Dental Practice of Edalat PaJouh S Kalai Dental Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.