Hamed Ghorbanian, DDS, Prof Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38997 Issued in CA

Legal business name

HAMED GHORBANIAN, DDS, PROF DENTAL CORP

Practice address

2031 River Rd
Norco, CA 92860-3307

Phone

(951) 372-9094

Fax

(951) 372-9378

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Hamed Ghorbanian, DDS

Title

President

Phone

(951) 372-9094

Specialties & licenses 1

Addresses

Other names 1

• Norco Family Dental Group Doing business as

Locations

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1417465170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 RIVER RD",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603307",
            "telephone_number": "951-372-9094",
            "fax_number": "951-372-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 RIVER RD",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603307",
            "telephone_number": "951-372-9094",
            "fax_number": "951-372-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMED GHORBANIAN, DDS, PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "GHORBANIAN",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-372-9094",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norco Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Norco, CA
• Providers in Norco, 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 Jun 18, 2019; 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.