Corp of Shahgaldian Dental Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CORP OF SHAHGALDIAN DENTAL INC.

Practice address

3835 Martin Luther King Jr Blvd Ste 101
Lynwood, CA 90262-3704

Phone

(818) 523-7626

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Christine Shahgaldian

Title

Dentist/Owner

Phone

(818) 523-7626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1366028722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 MARTIN LUTHER KING JR BLVD STE 101",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 MARTIN LUTHER KING JR BLVD STE 101",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623704",
            "telephone_number": "818-523-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORP OF SHAHGALDIAN DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "SHAHGALDIAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-523-7626"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.