NPIMap

Organization Active NPI

Sorour D.M.D, P.C

  • Dentist
  • Hawthorne, CA
National Provider Identifier
1447440482
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54393 Issued in CA
Legal business name
SOROUR D.M.D, P.C
Practice address
13340 Hawthorne Blvd
Hawthorne, CA 90250-5805
Phone
(310) 973-8004
Fax
(310) 973-8005
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Tharwat Sorour, D.M.D
Title
President
Phone
(310) 973-8004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 54393 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 54394 CA

Addresses

Primary practice location

13340 Hawthorne Blvd
Hawthorne, CA 90250-5805

Mailing address

13340 Hawthorne Blvd
Hawthorne, CA 90250-5805
Phone (310) 973-8004

National Provider Directory

National Provider Directory
Tax ID family
Sorour DMD PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13340 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 973-8004

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1447440482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505805",
            "telephone_number": "310-973-8004",
            "fax_number": "310-973-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505805",
            "telephone_number": "310-973-8004",
            "fax_number": "310-973-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR D.M.D, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "THARWAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-973-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54393",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.