NPIMap

Organization Active NPI

The Cosmopolitan Dentis

  • Dentist
  • El Segundo, CA
National Provider Identifier
1265981880
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE COSMOPOLITAN DENTIS
Practice address
390 N Sepulveda Blvd Ste 1050
El Segundo, CA 90245-4476
Phone
(310) 648-8066
Fax
(310) 648-8020
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Arash Khorsand, D.M.D.
Title
Owener
Phone
(310) 648-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

390 N Sepulveda Blvd Ste 1050
El Segundo, CA 90245-4476

Mailing address

390 N Sepulveda Blvd Ste 1050
El Segundo, CA 90245-4476
Phone (310) 648-8066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1265981880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N SEPULVEDA BLVD STE 1050",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454476",
            "telephone_number": "310-648-8066",
            "fax_number": "310-648-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N SEPULVEDA BLVD STE 1050",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454476",
            "telephone_number": "310-648-8066",
            "fax_number": "310-648-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COSMOPOLITAN DENTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "KHORSAND",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "310-648-8066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.