Ravaei Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41988 Issued in CA

Legal business name

RAVAEI DENTAL OFFICE

Practice address

13003 Van Nuys Blvd
Suite H & I
Pacoima, CA 91331-8316

Phone

(310) 836-0300

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Ramin Ra Vaei

Title

President

Phone

(310) 836-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821200726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330880",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913330880",
            "telephone_number": "310-836-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 VAN NUYS BLVD",
            "address_2": "SUITE H & I",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913318316",
            "telephone_number": "310-836-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVAEI DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RA VAEI",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-836-0300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Ramirez, LVN
• Lorena Munguia Ramos
• Parham Ramtin, DDS
• Arienne Rozel Castro Rancudo
• Cory Rangel
• Crystalbell Raygoza
• Iris Marcela Rayo de Seliktar, PH.D.
• Clarissa Reed
• Elisa Reiter-Reich
• Renew Integrated Program-2 Inc

• General Practice Dentistry in Pacoima, CA
• Providers in Pacoima, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.