Amal Mekhael Audi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45221 Issued in CA

Practice address

2300 S Harbor Blvd
Anaheim, CA 92802-3518

Phone

(714) 750-3030

Fax

(714) 971-0817

NPI assigned

Oct 3, 2007

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BT Morgan Dental Corp

  dba Coastal Dental Care and the Dental Implant Center of Orange County

  • Dentist
  • Anaheim, CA
  • NPI 1750505293
  NPD (past)
• Morgan Dental Corporation

  dba California Dental Group of South Anaheim

  • Dental Clinic/Center
  • Anaheim, CA
  • NPI 1801382049
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1801083803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2858",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928422858",
            "telephone_number": "714-719-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023518",
            "telephone_number": "714-750-3030",
            "fax_number": "714-971-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDI",
        "first_name": "AMAL",
        "middle_name": "MEKHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Atmaja
• Jameela Atooli
• Atoz Medical Managment (anaheim health care center)
• Yusef Attalla
• Ahmed Attrah, RCFE ADMIN
• Audrey Konow M.D. a Professional Corp
• Katherine Elaine Auer
• Aultruism, Inc. (Aultruism)
• Aum Pharmaceuticals Inc (Aum RX)
• Aum Pharmaceuticals Inc. (Aum RX II)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.