Westwood Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44505 Issued in CA

Legal business name

WESTWOOD DENTAL GROUP

Practice address

1762 Westwood Blvd. Suite 460
Los Angeles, CA 90024

Phone

(310) 474-3765

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Moeiz Koshki

Title

Dentist

Phone

(562) 474-3765

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.

• Sandra Shakibkhoo, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1255503561
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760697130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 WESTWOOD BLVD. SUITE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 WESTWOOD BLVD. SUITE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-474-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWOOD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSHKI",
        "authorized_official_first_name": "MOEIZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-474-3765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Vision Optometry PC
• Westside Wave CBT a Psychological Corporation
• Westside Wellness Center
• Westwood Acupuncture & Herb Center, Inc
• Westwood Dental Associates Inc
• Westwood Dental Smiles, Inc.
• Westwood Family Counseling, Inc.
• Westwood Healilng LLC
• Westwood Healing Center
• Westwood Healthcare & Wellness Centre LP

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 22, 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.