Organization Active NPI

Hykal Khosravibabadi Dental Corp

  • Dental Clinic/Center
  • Azusa, CA
National Provider Identifier
1477475291
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HYKAL KHOSRAVIBABADI DENTAL CORP
Practice address
680 E Alosta Ave Ste 108
Azusa, CA 91702-2710
Phone
(081) 869-9388
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Dr. Hykal Khosravibabadi
Title
Ceo
Phone
(081) 869-9388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

680 E Alosta Ave Ste 108
Azusa, CA 91702-2710

Mailing address

680 E Alosta Ave Ste 108
Azusa, CA 91702-2710
Phone (081) 869-9388

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1477475291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE STE 108",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022710",
            "telephone_number": "081-869-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE STE 108",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022710",
            "telephone_number": "081-869-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYKAL KHOSRAVIBABADI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVIBABADI",
        "authorized_official_first_name": "HYKAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "081-869-9388",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.