M. Saleh Kholaki D.D.S, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DA033301 Issued in CA

Legal business name

M. SALEH KHOLAKI D.D.S, INC.

Practice address

513 E Lime Ave Ste 204
Monrovia, CA 91016-2984

Phone

(626) 301-4220

Fax

(626) 301-4223

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mohamad Saleh Kholaki, D.D.S

Title

Owner

Phone

(626) 301-4220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1568834232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E LIME AVE STE 204",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162984",
            "telephone_number": "626-301-4220",
            "fax_number": "626-301-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E LIME AVE STE 204",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162984",
            "telephone_number": "626-301-4220",
            "fax_number": "626-301-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. SALEH KHOLAKI D.D.S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "KHOLAKI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "SALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-301-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DA033301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ma Feona Maalihan
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• Dentist in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.