Organization Active NPI

La Dental Care

  • Dental Clinic/Center
  • Hawthorne, CA
National Provider Identifier
1356743363
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
43490 Issued in CA
Legal business name
LA DENTAL CARE
Practice address
12820 Inglewood Ave
Hawthorne, CA 90250-5118
Phone
(310) 349-1980
Fax
(310) 349-1984
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Dr. Shirin A. Rowhani, D.D.S.
Title
Dentist/ Owner
Phone
(310) 349-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 43490 CA Primary

Addresses

Primary practice location

12820 Inglewood Ave
Hawthorne, CA 90250-5118

Mailing address

12820 Inglewood Ave
Hawthorne, CA 90250-5118
Phone (310) 349-1980

Other identifiers 1

IdentifierTypeStateIssuer
B43490OtherCAMEDICAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1356743363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505118",
            "telephone_number": "310-349-1980",
            "fax_number": "310-349-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505118",
            "telephone_number": "310-349-1980",
            "fax_number": "310-349-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "ROWHANI",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "310-349-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "43490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B43490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.