Ghorbanian DDS, VII, Inc Castillo G Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

53515 Issued in CA

Legal business name

GHORBANIAN DDS, VII, INC CASTILLO G DENTAL CORP

Doing business as

Aava Dental of Lake Elsinore

Practice address

31739 Riverside Dr Ste C
Lake Elsinore, CA 92530-7818

Phone

(951) 226-7606

NPI assigned

Apr 26, 2017

Last updated

Apr 26, 2017By 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. Abraham Ghorbanian

Title

Ceo/President

Phone

(949) 450-0076

Specialties & licenses 1

Addresses

Other names 1

• Aava Dental of Lake Elsinore Doing business as

Locations

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1619402716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31739 RIVERSIDE DR STE C",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307818",
            "telephone_number": "949-450-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31739 RIVERSIDE DR STE C",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307818",
            "telephone_number": "951-226-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHORBANIAN DDS, VII, INC CASTILLO G DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "GHORBANIAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-450-0076",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aava Dental of Lake Elsinore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camille M George
• Michael E Geraghty, PH.D.
• Geoffrey David Gerstein, LPT
• Janaz Ghadiali, DPT
• Hamzaa Ghani, PA
• Devory Gibson Jr Jr.
• Navdeep Kaur Gill, PA-C
• Tina Giordano
• Samuel Kibe Gitongu, RN
• Ashley Glass, LPCC

• Dentist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.