Organization Active NPI

Plaza Dental

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1306061734
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PLAZA DENTAL
Practice address
800 Wilshire Blvd Ste 102
Los Angeles, CA 90017-2829
Phone
(213) 626-6161
Fax
(213) 626-6163
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mojgan Ramezani, DDSNPI 1942323233
Title
Dentist
Phone
(213) 626-6161

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

800 Wilshire Blvd Ste 102
Los Angeles, CA 90017-2829

Mailing address

800 Wilshire Blvd Ste 102
Los Angeles, CA 90017-2829
Phone (213) 626-6161

National Provider Directory

National Provider Directory

Locations

800 Wilshire Blvd
Ste 102
Los Angeles, CA 90017
Phone (213) 626-6161

505 S Flower St
Ste B041
Los Angeles, CA 90071

Practitioners & affiliated clinicians

Practitioners 3

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1306061734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WILSHIRE BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172829",
            "telephone_number": "213-626-6161",
            "fax_number": "213-626-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WILSHIRE BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172829",
            "telephone_number": "213-626-6161",
            "fax_number": "213-626-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "RAMEZANI",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-626-6161",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 18, 2025; 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.