Vahedi and Khakshooy Dental Incorporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VAHEDI AND KHAKSHOOY DENTAL INCORPORATION

Practice address

4201 W Century Blvd
Inglewood, CA 90304-1617

Phone

(424) 253-6378

NPI assigned

Oct 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Soheil Vahedi, DDSNPI 1306982335

Title

Owner

Phone

(424) 253-6378

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Soheil Vahedi, D.D.S.

  • Dentist
  • Inglewood, CA
  • NPI 1306982335
  NPD Authorized official

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1881979649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W CENTURY BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041617",
            "telephone_number": "424-253-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W CENTURY BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041617",
            "telephone_number": "424-253-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAHEDI AND KHAKSHOOY DENTAL INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "VAHEDI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-253-6378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOHEIL VAHEDI",
            "identifier": "1306982335",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIAMAK KHAKSHOOY",
            "identifier": "1750437109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Soheil Vahedi, D.D.S.
• Andrea Berenise Valadez
• Gabriela Valdivia
• Jazmin Naomy Valenzuela, BCBA
• Ghazaleh Valestani

• All providers in Inglewood, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.