Payam Mojab DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

38334 Issued in CA

Legal business name

PAYAM MOJAB DDS INC

Doing business as

Huntington Family Dental

Practice address

2542 E Florence Ave
#A
Huntington Park, CA 90255

Phone

(323) 582-0755

Fax

(323) 582-7392

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 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

Dr. Payam Mojab, DDSNPI 1265756027

Title

President

Phone

(323) 582-0755

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Huntington Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Payam Mojab, D.D.S.

  • Dentist
  • Huntington Park, CA
  • NPI 1265756027
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861558470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 E FLORENCE AVE",
            "address_2": "#A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-582-0755",
            "fax_number": "323-582-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 E FLORENCE AVE",
            "address_2": "#A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-582-0755",
            "fax_number": "323-582-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM MOJAB DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOJAB",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-582-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9394201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Parker
• Ali Parsaeian, MD
• William Robert Pasztor
• Mehul Biharilal Patel
• Paul M Baylon MD Inc
• Antoinette Payton
• Pediatric and Family Medical Center
• Robert Mark Penn, D.C.
• Cory Pepper
• Diana L Perez-Johnson, LCSW

• Dentist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dentist 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.