Active NPI
E. Benji Behroozan DDS Inc.
- Dentist
- Los Angeles, CA
National Provider Identifier
1225346919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31568
- Legal business name
- E. BENJI BEHROOZAN DDS INC.
- Practice address
- 5255 W Sunset Blvd
Los Angeles, CA 90027-5716 - Phone
- (323) 463-7252
- Fax
- (323) 463-5622
- NPI assigned
- Sep 16, 2010
- Last updated
- Sep 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ehteram Benji Behroozan, DDS
- Title
- Owner
- Phone
- (323) 463-7252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31568 | CA | Primary |
Addresses
Primary practice location
5255 W Sunset Blvd
Los Angeles, CA 90027-5716
Mailing address
5255 W Sunset Blvd
Los Angeles, CA 90027-5716
Phone (323) 463-7252
National Provider Directory
National Provider Directory- Tax ID family
- E Benji Behroozan DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Santa Monica, CA
- NPI 1003124702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284595200000",
"number": "1225346919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275716",
"telephone_number": "323-463-7252",
"fax_number": "323-463-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275716",
"telephone_number": "323-463-7252",
"fax_number": "323-463-5622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E. BENJI BEHROOZAN DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A",
"authorized_official_last_name": "BENJI BEHROOZAN",
"authorized_official_first_name": "EHTERAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-463-7252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "31568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.