Organization Active NPI

Shahrooz Saidian DDS Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1518447028
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62654 Issued in CA
Legal business name
SHAHROOZ SAIDIAN DDS INC
Practice address
10231 Santa Monica Blvd Ste D
Los Angeles, CA 90067
Phone
(310) 552-2724
Fax
(310) 552-1161
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Shahrooz Saidian, DDS
Title
Owner
Phone
(310) 552-2724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 62654 CA Primary

Addresses

Primary practice location

10231 Santa Monica Blvd Ste D
Los Angeles, CA 90067

Mailing address

10231 Santa Monica Blvd Ste D
Los Angeles, CA 90067-6424
Phone (310) 552-2724

National Provider Directory

National Provider Directory

Locations

10231 Santa Monica Blvd
Ste D
Los Angeles, CA 90067
Phone (310) 552-2724

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1518447028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 SANTA MONICA BLVD STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676424",
            "telephone_number": "310-552-2724",
            "fax_number": "310-552-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 SANTA MONICA BLVD STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90067",
            "telephone_number": "310-552-2724",
            "fax_number": "310-552-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHROOZ SAIDIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SAIDIAN",
        "authorized_official_first_name": "SHAHROOZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-552-2724",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62654",
            "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 Sep 5, 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.