Organization Active NPI

Hakimzadeh and Reyhani Dental Office of Pico Lawndale Inc

Doing business as Lawndale Dental Group

  • Dental Clinic/Center
  • Lawndale, CA
National Provider Identifier
1235845538
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HAKIMZADEH AND REYHANI DENTAL OFFICE OF PICO LAWNDALE INC
Doing business as
Lawndale Dental Group
Practice address
15228 Hawthorne Blvd Ste a
Lawndale, CA 90260-2268
Phone
(310) 220-0456
Fax
(562) 381-8187
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Carolina Napoles
Title
Auditor
Phone
(562) 688-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

15228 Hawthorne Blvd Ste a
Lawndale, CA 90260-2268

Mailing address

15228 Hawthorne Blvd Ste a
Lawndale, CA 90260-2268
Phone (310) 220-0456

Other identifiers 1

IdentifierTypeStateIssuer
1376790907OtherCADENTAL OFFICE

Other names 1

  • Lawndale Dental Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insurance@simplesystemsmgmt.com

National Provider Directory

National Provider Directory

Locations

15228 Hawthorne Blvd
Ste A
Lawndale, CA 90260
Phone (310) 220-0456

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1235845538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15228 HAWTHORNE BLVD STE A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602268",
            "telephone_number": "310-220-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15228 HAWTHORNE BLVD STE A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602268",
            "telephone_number": "310-220-0456",
            "fax_number": "562-381-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAKIMZADEH AND REYHANI DENTAL OFFICE OF PICO LAWNDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "NAPOLES",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "AUDITOR",
        "authorized_official_telephone_number": "562-688-3852"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "1376790907",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@simplesystemsmgmt.com",
            "affiliation": "N",
            "address_1": "15228 Hawthorne Blvd Ste A",
            "city": "Lawndale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902602268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lawndale Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.