Active NPI
Norwalk Dental Office of Alborz Mehdizadeh Inc
- Dental Clinic/Center
- Norwalk, CA
National Provider Identifier
1316683022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NORWALK DENTAL OFFICE OF ALBORZ MEHDIZADEH INC
- Practice address
- 12100 Imperial Hwy # 101a
Norwalk, CA 90650-3081 - Phone
- (562) 210-8576
- Fax
- (562) 210-8601
- NPI assigned
- May 6, 2022
- 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
- Alborz Mehdizadeh, DDS
- Title
- Ceo
- Phone
- (818) 913-8097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
12100 Imperial Hwy # 101a
Norwalk, CA 90650-3081
Mailing address
12100 Imperial Hwy # 101a
Norwalk, CA 90650-3081
Phone (562) 210-8576
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NORWALK |
National Provider Directory
National Provider DirectoryLocations
12100 Imperial Hwy
#101A
Norwalk, CA 90650
Phone (562) 210-8576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651795200000",
"number": "1316683022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 IMPERIAL HWY # 101A",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503081",
"telephone_number": "562-210-8576",
"fax_number": "562-210-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 IMPERIAL HWY # 101A",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503081",
"telephone_number": "562-210-8576",
"fax_number": "562-210-8601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWALK DENTAL OFFICE OF ALBORZ MEHDIZADEH INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-06",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A",
"authorized_official_last_name": "MEHDIZADEH",
"authorized_official_first_name": "ALBORZ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-913-8097",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NORWALK",
"affiliation": "N",
"address_1": "12100 Imperial Hwy # 101A",
"city": "Norwalk",
"state": "CA",
"country_code": "US",
"postal_code": "906503081",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.