Active NPI
Plaza Dental
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1306061734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mojgan Ramezani, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Los Angeles, CA
- NPI 1942323233
-
- Dentist
- Los Angeles, CA
- NPI 1013037266
-
- Dentist
- Los Angeles, CA
- NPI 1013128800
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.