David Akhavan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110573 Issued in CA

Practice address

3737 Martin Luther King Jr Blvd Ste 316
Lynwood, CA 90262-3513

Phone

(310) 631-1111

NPI assigned

Sep 3, 2024

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2024.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1619702487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16813 MOONCREST DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363508",
            "telephone_number": "818-602-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 316",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "310-631-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHAVAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ag Lynwood, LLC
• Arlet Agazaryan, D.C.
• Brisa Aidee Aguilar
• Ruben Aguilera
• Ji Won Ahn
• Jannet Cardin Akouayri, PHARMD
• Mohammed J Alam, MD
• Khaled Albakri, MD
• Alejandro Jimenez DDS Inc
• Farzad Alemi, MD

• All providers in Lynwood, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.