NPIMap

Cohen Sedgh, Manavi & Pakravan Dental Corp

Organization Active NPI Dentist · Menifee, CA

NPI 1295187474 · NPPES record last updated Nov 20, 2024

Key facts

NPI
1295187474
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
38558 (CA)
Legal business name
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Practice address
30035 Haun Rd Unit B
Menifee, CA 92584-6805
Phone
(310) 820-9933
Fax
(310) 820-0408
NPI assigned
Jul 12, 2016
Organization subpart
No

Authorized official

Name
Dr. Farhad Manavi, DDS
Title
Owner
Phone
(310) 820-9933

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cohen Sedgh Manavi Pakravan Dental Corporation (23 organizations share this tax ID)

Locations

30035 Haun Rd
Menifee, CA 92584
Phone (951) 225-3324

30035 Haun Rd
Unit B
Menifee, CA 92584

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP		 122300000X 38558 CA Yes

Addresses

Primary practice location

30035 Haun Rd Unit B
Menifee, CA 92584-6805

Mailing address

30035 Haun Road
Menifee, CA 92584
Phone (310) 820-9933

Other names

  • WEST COAST DENTAL GROUP OF MENIFEE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2024.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1295187474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30035 HAUN ROAD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30035 HAUN RD UNIT B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846805",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MANAVI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-820-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTAL GROUP OF MENIFEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menifee, CA

All providers in Menifee, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.