Poria Edalat, DDS, Apc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PORIA EDALAT, DDS, APC

Practice address

5906 Monterey Rd
Los Angeles, CA 90042

Phone

(323) 256-2680

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Poria Edalat

Title

President

Phone

(818) 297-6595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1477045045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424943",
            "telephone_number": "323-256-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90042",
            "telephone_number": "323-256-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORIA EDALAT, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "EDALAT",
        "authorized_official_first_name": "PORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-297-6595"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy J Porche, CRNA
• Ademira Porcic, LVN
• Reza Pordell, MD
• Lise Porembka, BA
• Jessie Porfidio
• Comanika M Pork
• Giselle Pornillosa, PT
• Marc J Porot, MD
• Jennifer Porpora, MS
• Samantha Porpora

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.