Lida Mohaghegh Davani, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49939 Issued in CA

Practice address

8540 S Sepulveda Blvd Ste 815
Los Angeles, CA 90045-3808

Phone

(310) 410-9470

Fax

(310) 410-4405

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr Lida Davani DDS Dental Corp

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1063270411
  NPD Authorized official
• Kelishadi Samani Dental Corp

  • Dentist
  • Carson, CA
  • NPI 1508069576
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1437206331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453808",
            "telephone_number": "310-410-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453808",
            "telephone_number": "310-410-9470",
            "fax_number": "310-410-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAGHEGH DAVANI",
        "first_name": "LIDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "D49939",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Mogil, PSY.D.
• Allen Mogos, MD
• Mariana Mogos, M.D.
• Calvin Moh, M.D.
• Hyun a Moh
• Roya Layla Mohajer-Jasbi, PHARM.D.
• Javaneh Kangarloo Mohajer
• Kiyarash Mohajer, MD
• Christina Mohajerani, PSYD
• Sarah Mohajeri Moghaddam

• 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 Sep 12, 2023; 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.