Organization Active NPI

Edalat Pajouh Dental Corp

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1346483914
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EDALAT PAJOUH DENTAL CORP
Practice address
8704 W. Pico Blvd
Los Angeles, CA 90035
Phone
(310) 854-6565
Fax
(310) 854-0505
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Faramarz Edalat Pajouh, D.M.DNPI 1447527569
Title
President
Phone
(310) 854-6565

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

8704 W. Pico Blvd
Los Angeles, CA 90035

Mailing address

8704 W. Pico Blvd
Los Angeles, CA 90035
Phone (310) 854-6565

National Provider Directory

National Provider Directory

Locations

8704 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 839-8303

Practitioners & affiliated clinicians

Practitioners 1

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": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1346483914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 W. PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-854-6565",
            "fax_number": "310-854-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 W. PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-854-6565",
            "fax_number": "310-854-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDALAT PAJOUH DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "EDALAT PAJOUH",
        "authorized_official_first_name": "FARAMARZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-854-6565",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 13, 2009; 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.