Organization Active NPI

Suzan Sabagh Dental Corporation

  • Orofacial Pain Dentistry
  • Los Angeles, CA
National Provider Identifier
1245134527
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
SUZAN SABAGH DENTAL CORPORATION
Practice address
11980 San Vicente Blvd Ste 814
Los Angeles, CA 90049-6606
Phone
(310) 493-1133
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Dr. Suzan Sabagh, DDSNPI 1649440595
Title
President
Phone
(310) 493-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain Dentistry 1223X2210X NU Primary

Addresses

Primary practice location

11980 San Vicente Blvd Ste 814
Los Angeles, CA 90049-6606

Mailing address

15507 S Normandie Ave # 424
Gardena, CA 90247-4013
Phone (310) 493-1133

Other practice location 1

2424 W Ball Rd Ste L
Anaheim, CA 92804-5272
Phone (310) 493-1133

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1245134527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15507 S NORMANDIE AVE # 424",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474013",
            "telephone_number": "310-493-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 814",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496606",
            "telephone_number": "310-493-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 W Ball Rd Ste L",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928045272",
            "country_code": "US",
            "telephone_number": "310-493-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUZAN SABAGH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "SABAGH",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-493-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.