Pacific Coast Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PACIFIC COAST DENTAL INC.

Practice address

239 S. la Cienega Blvd
Suite 206
Beverly Hills, CA 90211

Phone

(310) 360-8250

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Khalid Khoudari, D.D.S

Title

Owner Dentist

Phone

(310) 360-8250

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi B Meinke, DDS

  • Dentist
  • Beverly Hills, CA
  • NPI 1871779827
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1669044590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S. LA CIENEGA BLVD",
            "address_2": "SUITE 206",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-360-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S. LA CIENEGA BLVD",
            "address_2": "SUITE 206",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-360-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "KHOUDARI",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "310-360-8250",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ossi Pace, MFT
• Pacific Aesthetic Institute, Inc
• Pacific Anti Aging Medical Group, Inc.
• Pacific Clinical Laboratories Inc
• Pacific Coast Ambulatory Surgery Center LLC
• Pacific Crest Health Independent Provider Association, Inc.
• Pacific Dental Care
• Pacific Dental Care
• Pacific Dental Care
• Pacific Dental Care

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.