Maha M. Boulos DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAHA M. BOULOS DDS, INC.

Practice address

23332 Hawthorne Blvd
Torrance, CA 90505-3749

Phone

(206) 229-3854

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Maha Boulos, DDSNPI 1942800586

Title

Dentist

Phone

(206) 229-3854

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maha M. Boulos, DDS

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1942800586
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1679174171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23332 HAWTHORNE BLVD STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053766",
            "telephone_number": "310-792-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23332 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053749",
            "telephone_number": "206-229-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA M. BOULOS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "BOULOS",
        "authorized_official_first_name": "MAHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-229-3854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudine Elizabeth Magsam, MA, DTR
• Marisa P Magtanong
• Denise Mary Maguire, LCSW
• Jerry Mah
• Maha Hanna DDS Inc
• John Francis Maher III, M.D.
• Jennifer Mahmood
• Sarwat Mahmud, M.D.
• Aislyn Rose Mahoney
• Christopher Mahoney, LMFT

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, 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 Nov 21, 2020; 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.