Diala Kseibi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104419 Issued in CA

Practice address

24953 Paseo de Valencia Ste 2C
Laguna Hills, CA 92653-4337

Phone

(440) 752-4092

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1538704168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 2C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534337",
            "telephone_number": "440-752-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 2C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534337",
            "telephone_number": "440-752-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSEIBI",
        "first_name": "DIALA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Bhat Krishnan, M.D.
• Tara Krishnasastry, P.A.
• Kristen Aguirre, MD Inc
• Edwin Andrew Krone, HEARING AID DISPENSE
• Martin Paul Kruger, DDS
• Samantha Mehta Kubaska, M.D.
• Sara Kumasaka Matsuda
• Kwon Endodontics, Apc
• Robert Sung Gil Kwon, MD
• Sophia Kwong, RPH

• General Practice Dentistry in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.