Reza Malekzadeh DDS Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

REZA MALEKZADEH DDS INC

Doing business as

Reza Malekzadeh DDS Inc

Practice address

4300 Long Beach Blvd Ste 415
Long Beach, CA 90807-2017

Phone

(562) 423-0800

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Reza Malekzadeh, DDSNPI 1114936523

Title

Owner/Dentist

Phone

(562) 423-0800

Specialties & licenses 2

Addresses

Other names 1

• Reza Malekzadeh DDS Inc Doing business as

Locations

Practitioners 2

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

• Reza Malekzadeh, DDS

  • Periodontics
  • Long Beach, CA
  • NPI 1114936523
  NPD Authorized official
• Mahshid Assadi, DDS

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1942866645
  NPD (past)

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1912727850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 415",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072017",
            "telephone_number": "562-423-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 415",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072017",
            "telephone_number": "562-423-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA MALEKZADEH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MALEKZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "562-423-0800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reza Malekzadeh DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alma Reynoso
• Carmen Vanessa Reynoso
• Desaree Reynoso
• Elizabeth Reynoso
• Jose Trinidad Reynoso Jr., PH.D.
• Jeong Min Rhee, LCSW
• Franklin Rhemrev
• Brianna Rhodes
• Elizabeth Rhodes
• Mandy R Rhodes, DC

• Periodontics in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.