Gina Deeb D.D.S., a Professional Dental Corporation

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

38984 Issued in CA

Legal business name

GINA DEEB D.D.S., A PROFESSIONAL DENTAL CORPORATION

Practice address

12660 Riverside Dr
Suite 240
Valley Village, CA 91607-3429

Phone

(818) 760-8966

NPI assigned

May 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gina Deeb, D.D.S.

Title

President

Phone

(213) 598-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212192000000",
    "number": "1750549291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 CHARMION LN",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163958",
            "telephone_number": "213-598-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "SUITE 240",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-760-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA DEEB D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A",
        "authorized_official_last_name": "DEEB",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-598-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "38984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; 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.