Sorour Kids Dental Practice, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOROUR KIDS DENTAL PRACTICE, INC

Practice address

1011 E Avenue J
Lancaster, CA 93535-3839

Phone

(661) 948-8100

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Selvana Sorour, DMDNPI 1679641146

Title

Vice President

Phone

(310) 795-3363

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selvana Sorour, D.M.D

  • Dentist
  • Los Angeles, CA
  • NPI 1679641146
  Authorized official Same address or phone
• Roland Markarian, DMD

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1285809830
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1578248696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 ATLANTIC AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902012523",
            "telephone_number": "323-456-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353839",
            "telephone_number": "661-948-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR KIDS DENTAL PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "SELVANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-795-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Sopkin
• Carole Sopp
• Stanley Paul Sorensen, MFT
• Lizeth N Soria Lopez
• Mercedes Soria Thomas
• Judith Sorto, LCSW
• Destiny Sosa Beltran
• Marjanelly Elizabeth Sosa Garduno
• Cesar Sosa
• Madeleine Claire Sosa

• General Practice Dentistry in Lancaster, CA
• Providers in Lancaster, 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 Jun 16, 2023; 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.