NPIMap

Organization Active NPI

Lili Mirtorabi, D.D.S., a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lawndale, CA
National Provider Identifier
1295909372
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
42574 Issued in CA
Legal business name
LILI MIRTORABI, D.D.S., A PROFESSIONAL CORPORATION
Practice address
15106 Hawthorne Blvd
Lawndale, CA 90260-2136
Phone
(310) 978-4746
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Lili Mirtorabi
Title
Owner
Phone
(310) 978-4746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 42574 CA Primary

Addresses

Primary practice location

15106 Hawthorne Blvd
Lawndale, CA 90260-2136

Mailing address

15106 Hawthorne Blvd
Lawndale, CA 90260-2136

Other identifiers 1

IdentifierTypeStateIssuer
42574OtherCADENTAL/ORTHODONTICS

National Provider Directory

National Provider Directory
Tax ID family
Lili Mirtorabi DDS a Professional Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

15106 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 978-4746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1295909372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15106 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15106 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602136",
            "telephone_number": "310-978-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILI MIRTORABI, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "MIRTORABI",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-978-4746",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "42574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL/ORTHODONTICS",
            "identifier": "42574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.