NPIMap

Organization Active NPI

Lili Mirtorabi, D.D.S., a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Ana, CA
National Provider Identifier
1497955363
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LILI MIRTORABI, D.D.S., A PROFESSIONAL CORPORATION
Practice address
2030 N Tustin Ave
Santa Ana, CA 92705-7827
Phone
(714) 547-6019
Fax
(714) 547-3152
NPI assigned
Jul 19, 2007
Organization subpart
Yes
Parent organization
LILI MIRTORABIDDSMS A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Lili Mirtorabi
Title
Supervisor
Phone
(323) 589-3438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X CA Primary

Addresses

Primary practice location

2030 N Tustin Ave
Santa Ana, CA 92705-7827

Mailing address

2030 N Tustin Ave
Santa Ana, CA 92705-7827
Phone (714) 547-6019

National Provider Directory

National Provider Directory
Tax ID family
Lili Mirtorabi DDS a Professional Corporation5 organizations share this tax ID, including this one
Part of
Lili Mirtorabi DDS a Professional Corporation

Other organizations with this tax ID 4

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

Locations

2030 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 547-6019

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497955363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057827",
            "telephone_number": "714-547-6019",
            "fax_number": "714-547-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057827",
            "telephone_number": "714-547-6019",
            "fax_number": "714-547-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILI MIRTORABI, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LILI MIRTORABIDDSMS A PROFESSIONAL CORPORATION",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIRTORABI",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "323-589-3438",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.