M Jourabchi Dental Corp

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

63660 Issued in CA

Legal business name

M JOURABCHI DENTAL CORP

Doing business as

Smile Design Sylmar Dentistry and Braces

Practice address

14124 Foothill Blvd Ste 103
Sylmar, CA 91342-8052

Phone

(818) 362-8333

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mickel Jourabchi, DDSNPI 1841578390

Title

Ceo

Phone

(818) 825-1618

Specialties & licenses 1

Addresses

Other names 1

• Smile Design Sylmar Dentistry and Braces Doing business as

Practitioners 1

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

• Mickel Jourabchi, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Encino, CA
  • NPI 1841578390
  NPD Authorized official

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1316426760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD STE 103",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428052",
            "telephone_number": "818-362-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD STE 103",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428052",
            "telephone_number": "818-362-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16502 Hawthorne Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902602915",
            "country_code": "US",
            "telephone_number": "310-921-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M JOURABCHI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "JOURABCHI",
        "authorized_official_first_name": "MICKEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-825-1618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "63660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Design Sylmar Dentistry and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisol Luna-Pizano, M.D.
• Angela Cecilia Luna
• Scott Ryan Lundberg, MD
• Tinh Luong, M.D., PH.D.
• Jonathan Lyu, DO
• Luz Macias Clark
• Maclay Healthcare LLC (Maclay Healthcare Center)
• Maclay Rehabilitation Center, Inc.
• Kathy Jean Macleay, PH.D.
• Latha Madhavan, M.D.

• Public Health Dentistry in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.