Dr. Edmond Janfaza DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. EDMOND JANFAZA DDS, INC.

Practice address

2675 E. Slauson Ave
#300
Huntington Park, CA 90255

Phone

(323) 589-3391

Fax

(323) 589-3728

NPI assigned

Feb 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Edmond Janfaza, D.D.S.

Title

Owner

Phone

(323) 589-3391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1558720029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 E. SLAUSON AVE",
            "address_2": "#300",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-589-3391",
            "fax_number": "323-589-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 E. SLAUSON AVE",
            "address_2": "#300",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-589-3391",
            "fax_number": "323-589-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDMOND JANFAZA DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "JANFAZA",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-589-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.