Mehrdad Khoshrozeh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43990 Issued in CA

Practice address

4080 Whittier Blvd
Los Angeles, CA 90023-2527

Phone

(323) 582-4744

Fax

(323) 582-3101

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Khoshrozeh Dental Corporation

  dba California Family Dental Group

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1003953126
  NPD Authorized official
• Zinman DDS, Inc.

  • General Practice Dentistry
  • Pacoima, CA
  • NPI 1396239646
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1598802704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232527",
            "telephone_number": "323-582-4744",
            "fax_number": "323-582-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232527",
            "telephone_number": "323-582-4744",
            "fax_number": "323-582-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 E Slauson Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902553002",
            "country_code": "US",
            "telephone_number": "323-582-4474",
            "fax_number": "323-582-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSHROZEH",
        "first_name": "MEHRDAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43990",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL OFFICE NUMBER",
            "identifier": "G91571-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "D43990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Mahdi Khoshchehreh Jamalai
• Zeyad Akram Khoshhal, MBBS (MD EQUIVALENT)
• Mellad Michael Khoshnood, MD
• Zhirayr Jerry Khoshoryan
• Khoshrozeh Dental Corporation (California Family Dental Group)
• Harpal Singh Khosla Jr.
• Khosro Vahid, M.D. a Medical Corporation
• Ali M Khosrovani, DDS
• Channelle Khoubian, PHARMD
• Jonathan Jakob Khoubian, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 2, 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.