Homan Hanasab D.D.S. Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

53909 Issued in CA

Legal business name

HOMAN HANASAB D.D.S. INC.

Practice address

1580 Manning Ave Apt 302
Los Angeles, CA 90024-6086

Phone

(310) 892-6631

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Homan Hanasab

Title

President

Phone

(310) 892-6631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1629234802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MANNING AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246086",
            "telephone_number": "310-892-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MANNING AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246086",
            "telephone_number": "310-892-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMAN HANASAB D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "HANASAB",
        "authorized_official_first_name": "HOMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-892-6631"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward K Hom
• Farley Chui Hom, LAC, OTRL
• Miron J. Hom, MD
• Philip Hom, M.D.
• Ryan Matthew Hom, PA-C
• Stacy Lynn Homan, LISCW
• James D Homans, MD
• Shahnaz Homayounshad
• Sandra Homchick, LMFT
• Home at Last Community Development Corporation

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.