Sina Eftekharzadeh DDS Prof Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

41828 Issued in CA

Legal business name

SINA EFTEKHARZADEH DDS PROF DENTAL CORP

Practice address

655 S Main St
Suite 230
Orange, CA 92868-4690

Phone

(714) 543-2815

NPI assigned

Jul 15, 2016

Organization subpart

No

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

Authorized official

Name

Sina Eftekharzadeh

Title

Ceo

Phone

(714) 543-2815

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1659724508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S MAIN ST",
            "address_2": "SUITE 230",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S MAIN ST",
            "address_2": "SUITE 230",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684690",
            "telephone_number": "714-543-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA EFTEKHARZADEH DDS PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "EFTEKHARZADEH",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-543-2815"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donny Simpson
• Jennifer L Simpson, MD
• Toron Simpson
• Joe Sims
• Luanne Sims, NP
• Lauren Renee Sinclair
• Ashley Sincosky, BCBA
• Lilian Klara Sing
• Lisa Anne Singer, MSN, AGACNP-BC
• Elisa Singh

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.