Sina Edalat Dental Group, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SINA EDALAT DENTAL GROUP, INC

Practice address

1739 Colorado Blvd
Los Angeles, CA 90041-1348

Phone

(323) 344-0682

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sina Edalat, DDSNPI 1790167336

Title

President

Phone

(323) 344-0682

Specialties & licenses 1

Addresses

Other names 1

• Sina Edalat Dental Group, Inc Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sina Edalat, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1790167336
  NPD Authorized official
• Erwyn Jay Ignacio, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1134391378
  NPD (past)

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1225793458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 AMANDA DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044141",
            "telephone_number": "818-934-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411348",
            "telephone_number": "323-344-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA EDALAT DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "EDALAT",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-344-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sina Edalat Dental Group, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sina Edalat Dental Group, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sin Fronteras Medical Clinic
• Kin Sin-Rong
• Amy Sin
• Ik Cheol Sin, L.AC
• Sina Edalat DDS, Inc
• Sina Infectious Diseases Medical Associates, Inc
• Sina Surgery Inc
• Mehran Sina, MD
• Sinai Medical Transport, Inc.
• Sinai Pediatrics

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.