Organization Active NPI

Fariborz Rodef Dental Corporation

Doing business as Childrens Dental Funzone

  • Pediatric Dentistry
  • Alhambra, CA
National Provider Identifier
1780205047
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FARIBORZ RODEF DENTAL CORPORATION
Doing business as
Childrens Dental Funzone
Practice address
233 South Fremont Ave
Alhambra, CA 91801
Phone
(626) 412-0200
NPI assigned
Apr 28, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Fariborz RodefNPI 1548357262
Title
Ceo
Phone
(310) 625-3773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

233 South Fremont Ave
Alhambra, CA 91801

Mailing address

2235 E Garvey Ave N Ste a
West Covina, CA 91791-1540
Phone (626) 412-0200

Other names 1

  • Childrens Dental Funzone Doing business as

National Provider Directory

National Provider Directory
Part of
Fariborz Rodef Dental Corporation

Locations

233 S Fremont Ave
Alhambra, CA 91801
Phone (626) 604-1130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1780205047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E GARVEY AVE N STE A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911540",
            "telephone_number": "626-412-0200",
            "fax_number": "626-214-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SOUTH FREMONT AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-412-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIBORZ RODEF DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "RODEF",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-625-3773"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Funzone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.