NPIMap

Organization Active NPI

Tarlan, P. Akhavan DDS a Prof Corp

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1861882698
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54323 Issued in CA
Legal business name
TARLAN, P. AKHAVAN DDS A PROF CORP
Practice address
2407 South Vermont Ave
Los Angeles, CA 90007
Phone
(213) 222-2990
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Tarlan AkhavanNPI 1598828717
Title
Ceo
Phone
(213) 222-2990

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 54323 CA Primary

Addresses

Primary practice location

2407 South Vermont Ave
Los Angeles, CA 90007

Mailing address

2407 South Vermont Ave
Los Angeles, CA 90007

National Provider Directory

National Provider Directory
Tax ID family
Tarlan P Akhavan DDS a Prof Corp2 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.

Locations

2407 S Vermont Ave
Los Angeles, CA 90007
Phone (213) 222-2990

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1861882698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SOUTH VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 SOUTH VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "213-222-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARLAN, P. AKHAVAN DDS A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "TARLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-222-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54323",
            "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 Feb 2, 2015; 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.