Hamid Imankhan,DDS,Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

46073 Issued in CA

Legal business name

HAMID IMANKHAN,DDS,INC.

Practice address

2634 Clarendon Ave
Huntington Park, CA 90255-4120

Phone

(323) 585-2777

Fax

(323) 582-2245

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Hamid Reza Imankhan, D.D.S.

Title

President/ Owner

Phone

(323) 585-2777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Milagros A Loo, D.D.S

  • General Practice Dentistry
  • Baldwin Park, CA
  • NPI 1417140047
  NPD (past)

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1669895793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554120",
            "telephone_number": "323-585-2777",
            "fax_number": "323-582-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554120",
            "telephone_number": "323-585-2777",
            "fax_number": "323-582-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMID IMANKHAN,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "IMANKHAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "323-585-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "1144480096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samy Habib
• Hami Hadidjaja, D.D.S.
• Jeanette Marie Haley
• Andre Hall
• Marsha Hall
• Trevor Hamilton
• Hand-in-Hand Community Health Center
• Cheisa Mae C. Harris
• Ronald Anthony Harrison
• Harry Kawilarang DDS, Inc.

• Dentist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.