Eyvazi Dental Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EYVAZI DENTAL CORP.

Practice address

13624 Hawthorne Blvd Ste 205
Hawthorne, CA 90250-5818

Phone

(310) 856-6574

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Alexi Eyvazi, DDS

Title

President

Phone

(310) 856-6574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1710344148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 HAWTHORNE BLVD STE 205",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 HAWTHORNE BLVD STE 205",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505818",
            "telephone_number": "310-856-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYVAZI DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "EYVAZI",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-856-6574",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family United-N-New Beginnings, Inc.

• Dental Clinic/Center in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Dental Clinic/Center in California

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