Organization Active NPI

Soodabeh Azarmi DDS Inc

  • General Practice Dentistry
  • Culver City, CA
National Provider Identifier
1801079066
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOODABEH AZARMI DDS INC
Practice address
4310 Overland Ave
Culver City, CA 90230-4117
Phone
(310) 837-8087
Fax
(310) 837-8096
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Ms. Soodabeh Azarmi, DDSNPI 1447324652
Title
Owner
Phone
(310) 837-8087

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4310 Overland Ave
Culver City, CA 90230-4117

Mailing address

4310 Overland Ave
Culver City, CA 90230-4117
Phone (310) 837-8087

Other identifiers 1

IdentifierTypeStateIssuer
B39938OtherCADENTI-CAL PROVIDER

National Provider Directory

National Provider Directory

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1801079066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304117",
            "telephone_number": "310-837-8087",
            "fax_number": "310-837-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304117",
            "telephone_number": "310-837-8087",
            "fax_number": "310-837-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOODABEH AZARMI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "AZARMI",
        "authorized_official_first_name": "SOODABEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-837-8087",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER",
            "identifier": "B39938",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.