Kleinman & Wallace Professional Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KLEINMAN & WALLACE PROFESSIONAL DENTAL CORP

Practice address

8615 S Broadway
Los Angeles, CA 90003

Phone

(323) 752-3116

Fax

(323) 752-4104

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan Nathan Kleinman, GENERAL DENTIST

Title

President

Phone

(323) 752-3116

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anas Alkwadri, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1679652812
  NPD (past)
• Hassan M Fayoumi, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1831269489
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386727667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90003",
            "telephone_number": "323-752-3116",
            "fax_number": "323-752-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90003",
            "telephone_number": "323-752-3116",
            "fax_number": "323-752-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINMAN & WALLACE PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-752-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "GENERAL DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kleinbart Synergistic Chiropractic Inc
• Sally Kleinbart, D.C.
• Allyson Kleinbrodt
• Benjamin Wolfe Kleinbrodt, D.C.
• Marilyn Weber Kleinhein, NP
• Jay Michael Kleinman, DO
• Jeffrey Ira Kleinman, O.D.
• Leonard Eugene Kleinman, MD
• Ronald Paul Kleinman, OD
• Steven Mitchell Kleinman, DMD

• 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 Aug 22, 2020; 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.