Organization Active NPI

Rodef & Yousefi Dental Corporation

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1790334134
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RODEF & YOUSEFI DENTAL CORPORATION
Doing business as
Childrens Dental Funzone
Practice address
3736 Crenshaw Blvd
Los Angeles, CA 90016
Phone
(626) 412-0200
Fax
(626) 214-0037
NPI assigned
Sep 9, 2019
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

3736 Crenshaw Blvd
Los Angeles, CA 90016

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
Rodef Yousefi Dental Corporation

Locations

3736 Crenshaw Blvd
Los Angeles, CA 90016

2225 E Garvey Ave N
West Covina, CA 91791
Phone (626) 966-3033

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1790334134",
    "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": "3736 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90016",
            "telephone_number": "626-412-0200",
            "fax_number": "626-214-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEF & YOUSEFI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Funzone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.