Organization Active NPI

Norwalk Dental Office of Alborz Mehdizadeh Inc

  • Dental Clinic/Center
  • Norwalk, CA
National Provider Identifier
1316683022
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on May 6, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL NORWALK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.