Jabeen Mah Khan DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55705 Issued in CA

Legal business name

JABEEN MAH KHAN DDS, INC

Practice address

643 W Manchester Ave
Los Angeles, CA 90044-5718

Phone

(323) 753-1411

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jabeen Mah Khan, DDS

Title

Dentist

Phone

(323) 753-1411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1245503754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445718",
            "telephone_number": "323-753-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEEN MAH KHAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JABEEN",
        "authorized_official_middle_name": "MAH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-753-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Vallejo Jabal, ACNPC
• Sami I Jabara, M.D.
• Duaa Jabari, MD
• Monique Jabbour, CRNA
• Zaher Jabbour, DMD
• Jonathan S Jaber
• Jabez Pain Care Center, Inc
• Feraas Jabi, M.D.
• Ali Mohmmed Jablawi Sr.
• Sharon Jablon, PH.D.

• 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 Feb 14, 2012; 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.