NPIMap

Organization Active NPI

Sooferi & Sooferi a Professional Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1821532367
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
57377 Issued in CA
Legal business name
SOOFERI & SOOFERI A PROFESSIONAL CORPORATION
Practice address
5010 S la Brea Ave
Los Angeles, CA 90056-1800
Phone
(323) 296-2300
Fax
(323) 290-4072
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Pedram Sooferi, DDSNPI 1821248246
Title
Owner
Phone
(323) 296-2300

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
Dental Clinic/Center 261QD0000X 57377 CA Primary

Addresses

Primary practice location

5010 S la Brea Ave
Los Angeles, CA 90056-1800

Mailing address

5010 S la Brea Ave
Los Angeles, CA 90056-1800
Phone (323) 296-2300

National Provider Directory

National Provider Directory

Locations

5010 S La Brea Ave
Los Angeles, CA 90056
Phone (323) 296-2300

Practitioners & affiliated clinicians

Practitioners 2

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": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1821532367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561800",
            "telephone_number": "323-296-2300",
            "fax_number": "323-290-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561800",
            "telephone_number": "323-296-2300",
            "fax_number": "323-290-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOOFERI & SOOFERI A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "SOOFERI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-296-2300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 24, 2021; 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.