NPIMap

Organization Active NPI

Maurice K. Masliah, DDS, a Professional Corporation

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1437239894
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29958 Issued in CA
Legal business name
MAURICE K. MASLIAH, DDS, A PROFESSIONAL CORPORATION
Practice address
11645 Wilshire Blvd
Suite 1158
Los Angeles, CA 90025-1708
Phone
(310) 820-5703
Fax
(310) 826-3063
NPI assigned
Oct 17, 2006
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Dr. Maurice K Masliah, D.D.S., A.C.P.NPI 1619374238
Title
Doctor
Phone
(310) 820-5703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 29958 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd
Suite 1158
Los Angeles, CA 90025-1708

Mailing address

11645 Wilshire Blvd
Suite 1158
Los Angeles, CA 90025-1708
Phone (310) 820-5703

National Provider Directory

National Provider Directory

Locations

11645 Wilshire Blvd
Ste 1158
Los Angeles, CA 90025
Phone (310) 820-5703

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1437239894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 1158",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-820-5703",
            "fax_number": "310-826-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 1158",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-820-5703",
            "fax_number": "310-826-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE K. MASLIAH, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MASLIAH",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-820-5703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., A.C.P."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.