Organization Active NPI

Kourosh Yousefzadeh DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1861801243
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59404 Issued in CA
Legal business name
KOUROSH YOUSEFZADEH DDS
Practice address
523 W 6TH St Ste 202
Los Angeles, CA 90014-1228
Phone
(213) 627-5895
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Kourosh Yousefzadeh, DDSNPI 1841502663
Title
President/Owner
Phone
(213) 627-5895

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 59404 CA Primary

Addresses

Primary practice location

523 W 6TH St Ste 202
Los Angeles, CA 90014-1228

Mailing address

523 W 6TH St Ste 202
Los Angeles, CA 90014-1228
Phone (213) 627-5895

National Provider Directory

National Provider Directory

Locations

523 W 6th St
Ste 202
Los Angeles, CA 90014
Phone (213) 627-5895

Practitioners & affiliated clinicians

Practitioners 1

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1861801243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 W 6TH ST STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141228",
            "telephone_number": "213-627-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 W 6TH ST STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141228",
            "telephone_number": "213-627-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH YOUSEFZADEH DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "YOUSEFZADEH",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "213-627-5895",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59404",
            "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 Jan 9, 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.