Mirhamid Salek, DDS, Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60319906 Issued in WA

Legal business name

MIRHAMID SALEK, DDS, PROFESSIONAL CORPORATION

Practice address

628 N Azusa Ave
West Covina, CA 91791-1148

Phone

(626) 966-8408

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mirhamid Salek, DDSNPI 1275969156

Title

President

Phone

(626) 644-8618

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Mirhamid Salek, DDS

  • Dentist
  • West Covina, CA
  • NPI 1275969156
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1780194985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CALLE SONRISA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083036",
            "telephone_number": "626-644-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911148",
            "telephone_number": "626-966-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRHAMID SALEK, DDS, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "SALEK",
        "authorized_official_first_name": "MIRHAMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-644-8618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64405",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60319906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Min, D.M.D.
• Aaron Miranda
• Cesar Miranda
• Daniel Raul Miranda Jr., PTA
• Krystel Dyann Miranda
• Pankaj Nanubhai Mistry, M.D.
• Isaiah Mitchell
• MJ Asset Services LLC
• MJ Asset Services LLC
• MLSL, Incorporated

• Dental Clinic/Center in West Covina, CA
• Providers in West Covina, 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 Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.