NPIMap

Organization Active NPI

West Covina Dental Group

Doing business as Karim Zaklama DentalCorporation

  • Dentist
  • West Covina, CA
National Provider Identifier
1356710727
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST COVINA DENTAL GROUP
Doing business as
Karim Zaklama DentalCorporation
Practice address
2700 E Workman Ave Ste a
West Covina, CA 91791-1628
Phone
(626) 634-3393
Fax
(626) 967-2972
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Karim M Zaklama, DDS
Title
Owner Doctor
Phone
(626) 634-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

2700 E Workman Ave Ste a
West Covina, CA 91791-1628

Mailing address

17000 Red Hill Avenue
Irvive, CA 92614
Phone (714) 845-8890

Other names 1

  • Karim Zaklama DentalCorporation Doing business as

National Provider Directory

National Provider Directory

Locations

2700 E Workman Ave
Ste A
West Covina, CA 91791
Phone (626) 634-3393

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1356710727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVENUE",
            "city": "IRVIVE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E WORKMAN AVE STE A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911628",
            "telephone_number": "626-634-3393",
            "fax_number": "626-967-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COVINA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "ZAKLAMA",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "626-634-3393",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karim Zaklama DentalCorporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.