Behnoud Reyhani Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BEHNOUD REYHANI DENTAL CORP

Doing business as

South Gate Family Dentistry

Practice address

2639 Santa Ana St
South Gate, CA 90280-2025

Phone

(323) 583-1481

Fax

(562) 381-9150

NPI assigned

Apr 16, 2018

Last updated

Apr 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Behnoud Reyhani, DDS

Title

Owner

Phone

(562) 925-3735

Specialties & licenses 1

Addresses

Other names 1

• South Gate Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1821585803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 SOMERSET BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063009",
            "telephone_number": "562-925-3735",
            "fax_number": "562-381-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802025",
            "telephone_number": "323-583-1481",
            "fax_number": "562-381-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNOUD REYHANI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "REYHANI",
        "authorized_official_first_name": "BEHNOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-925-3735",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Gate Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fahrin N Bhuiyan, DMD
• Big a Drugstore

• Dental Clinic/Center in South Gate, CA
• Providers in South Gate, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.