Setareh Dental Group DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

54203 Issued in CA

Legal business name

SETAREH DENTAL GROUP DDS, INC.

Practice address

919 W Avenue J Ste C
Lancaster, CA 93534-3432

Phone

(661) 949-8288

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Sepehr Setareh

Title

President

Phone

(310) 351-5153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1356823017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 ROSCOMARE RD UNIT F17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771840",
            "telephone_number": "310-351-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W AVENUE J STE C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343432",
            "telephone_number": "661-949-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETAREH DENTAL GROUP DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "SETAREH",
        "authorized_official_first_name": "SEPEHR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-351-5153"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio Serrano
• Sueling Serrano
• Yenifer Areli Serrano
• Alejandra Servin
• Samantha Servin
• Sepehr Setareh, D.D.S
• Sethu V. Madhavan, MD Inc
• Nicole Cynthia Sfeir Trikha, MD
• Shab Medical Inc
• Lori Shafer

• Dental Clinic/Center in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.