R Edalatpajouh Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

R EDALATPAJOUH DENTAL INC

Practice address

2205 E Palmdale Blvd
Palmdale, CA 93550-1316

Phone

(310) 529-7292

NPI assigned

Apr 22, 2022

Last updated

Apr 22, 2022By 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

Ryan Edalatpajouh, DDSNPI 1528620234

Title

Owner

Phone

(310) 529-7292

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ryan Edalatpajouh

  • Dentist
  • Beverly Hills, CA
  • NPI 1528620234
  Authorized official Same address or phone

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1619611944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501316",
            "telephone_number": "310-529-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501316",
            "telephone_number": "310-529-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R EDALATPAJOUH DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "EDALATPAJOUH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-529-7292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Quinones
• Javier Quintana, MD, PHD
• Juliana Arely Quintanilla
• Noemi Elizabeth Quintanilla
• April Quong
• Jeffrey Hernandez Rabe
• Christina Nicole Rachford
• Raffi P. Kartalian, M.D., Inc.
• Nicole Ragone, AMFT153756
• Natalie Christine Ragus, LCSW

• Dentist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.