Pooran Dalwani DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

27978 Issued in CA

Legal business name

POORAN DALWANI DDS INC

Practice address

400 E Regent St
Inglewood, CA 90301-1316

Phone

(626) 357-1057

NPI assigned

Aug 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mamta Pooran Dalwani, DDSNPI 1124295241

Title

Dentist

Phone

(310) 279-2298

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mamta Pooran Dalwani

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1124295241
  NPD (past) Authorized official
• Paul L Tran, DMD

  • General Practice Dentistry
  • Duarte, CA
  • NPI 1497885859
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1790918381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12381 WILSHIRE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251063",
            "telephone_number": "310-207-4617",
            "fax_number": "310-207-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E REGENT ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011316",
            "telephone_number": "626-357-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 Buena Vista St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910102413",
            "country_code": "US",
            "telephone_number": "626-357-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POORAN DALWANI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DALWANI",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_middle_name": "POORAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-279-2298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PLD Family Home Care
• Lauren Dorothy Plummer
• Keaujahne Kierra Champane Polk
• Veronika Pomyateeva
• Brian W Pond, PPS
• Jessica Poovan, PHARM.D.
• Rickie L Porter
• Portia D Turner D D S
• Deborah Denease Posey, O.D.
• Chelsea K Poyo-Nieto, IBCLC

• Dentist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.