Active NPI
Shahgaldian Professional Dental Corp
- Dentist
- Los Angeles, CA
National Provider Identifier
1710358726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59269
- Legal business name
- SHAHGALDIAN PROFESSIONAL DENTAL CORP
- Practice address
- 279 S Atlantic Blvd
Ste # B
Los Angeles, CA 90022-1734 - Phone
- (818) 523-7626
- NPI assigned
- Oct 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Shahgaldian
- Title
- Dentist/Owner
- Phone
- (818) 523-7626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59269 | CA | Primary |
Addresses
Primary practice location
279 S Atlantic Blvd
Ste # B
Los Angeles, CA 90022-1734
Mailing address
279 S Atlantic Blvd
Ste # B
Los Angeles, CA 90022-1734
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1710358726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 S ATLANTIC BLVD",
"address_2": "STE # B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 S ATLANTIC BLVD",
"address_2": "STE # B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221734",
"telephone_number": "818-523-7626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHGALDIAN PROFESSIONAL DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-16",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "SHAHGALDIAN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "818-523-7626",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "59269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.