Hamid Reza Imankhan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46073 Issued in CA

Practice address

13100 Pontoon PL
Los Angeles, CA 90049-3634

Phone

(310) 395-6084

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H.R.Imankhan,DDS,Inc

  • Dentist
  • Lynwood, CA
  • NPI 1003115312
  NPD Authorized official
• Hamid Imankhan DDS a Dental Corporation

  • Dentist
  • Lancaster, CA
  • NPI 1518719301
  NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376695825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 VENTURA BLVD",
            "address_2": "104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-225-7768",
            "fax_number": "818-225-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 PONTOON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493634",
            "telephone_number": "310-395-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMANKHAN",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy K Imai, PHD MFT
• Alessandrina Imamori, MSW, ASW
• Cynthia Imamura
• Iman Rabizadeh MD PC
• Sohrab Imani, D.D.S.
• Imanuel Khalili M.D.., Inc
• Imars Medical Supply
• Vito Imbasciani, PHD, MD
• Kory A Imbrescia, DO
• Imces

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.