Faraz Edalatpajouh Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FARAZ EDALATPAJOUH DENTAL INC

Practice address

1210 W Redondo Beach Blvd
Gardena, CA 90247-3411

Phone

(310) 529-7292

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Faraz Edalatpajouh, DDSNPI 1225551351

Title

Owner

Phone

(310) 529-5685

Specialties & licenses 1

Addresses

Other names 1

• faraz edalatpajouh dental inc Former legal business name

Tax ID family

Faraz Edalatpajouh Dental Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Faraz Edalatpajouh Dental Inc

  • Dentist
  • Gardena, CA
  • NPI 1518737923
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faraz Edalatpajouh, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beverly Hills, CA
  • NPI 1225551351
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1841051182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473411",
            "telephone_number": "310-529-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAZ EDALATPAJOUH DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "EDALATPAJOUH",
        "authorized_official_first_name": "FARAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-529-5685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "faraz edalatpajouh dental inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kyle Falla
• David Michael Fallat, MD
• Family Hands Foundation Inc
• Rosemarie Ragadio Famisan
• Faraz Edalatpajouh Dental Inc
• Jessica Farias Lopez
• Alicia Denley Farina, RN, IBCLC
• Yolanda Maria Farley, CADC, RAS
• Ana Maria Farrell
• Kristiana Noel Farris

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.