Kohan & Rodef Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

38356 Issued in CA

Legal business name

KOHAN & RODEF DENTAL CORPORATION

Doing business as

Childrens Dental Funzone

Practice address

500 San Fernando Mission Blvd #110
San Fernardo, CA 91340-4061

Phone

(818) 403-6722

Fax

(747) 253-7532

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Fariborz RodefNPI 1548357262

Title

Ceo

Phone

(310) 625-3773

Specialties & licenses 2

Addresses

Other names 1

• Childrens Dental Funzone Doing business as

Part of

Kohan Rodef Dental Corporation

Locations

Practitioners 2

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.

• Fariborz Rodef, DDS

  • Pediatric Dentistry
  • West Covina, CA
  • NPI 1548357262
  NPD (past) Authorized official
• Farnaz Kohan, DDS

  • Dentist
  • West Covina, CA
  • NPI 1295160638
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1235623190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E GARVEY AVE N STE A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911540",
            "telephone_number": "626-412-0200",
            "fax_number": "626-214-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAN FERNANDO MISSION BLVD #110",
            "city": "SAN FERNARDO",
            "state": "CA",
            "postal_code": "913404061",
            "telephone_number": "818-403-6722",
            "fax_number": "747-253-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHAN & RODEF DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "RODEF",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-625-3773"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62906",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Funzone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.