Active NPI
Maurice Firouz, D.D.S., Inc.
- Dental Clinic/Center
- Los Angeles, CA
National Provider Identifier
1245638253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 36457
- Legal business name
- MAURICE FIROUZ, D.D.S., INC.
- Practice address
- 11645 Wilshire Blvd
1060
Los Angeles, CA 90025-1708 - Phone
- (310) 447-5790
- NPI assigned
- Dec 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maurice Firouz, DDS
- Title
- President
- Phone
- (310) 447-5790
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 36457 | CA | Primary |
Addresses
Primary practice location
11645 Wilshire Blvd
1060
Los Angeles, CA 90025-1708
Mailing address
11645 Wilshire Blvd
Suite 1060
Los Angeles, CA 90025-1708
Phone (310) 447-5790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104985993 | Other | CA | DENTICAL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
- NPI 1104985993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417996800000",
"number": "1245638253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "SUITE 1060",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-447-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "1060",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-447-5790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAURICE FIROUZ, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A",
"authorized_official_last_name": "FIROUZ",
"authorized_official_first_name": "MAURICE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-447-5790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "36457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "1104985993",
"state": "CA"
}
],
"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 Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.