Afshin Doostan,D.D.S.,Inc
Organization Active NPI General Practice Dentistry · Lawndale, CA
NPI 1932397734 · NPPES record last updated Oct 7, 2007
Key facts
- NPI
- 1932397734
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 46051 (CA)
- Legal business name
- AFSHIN DOOSTAN,D.D.S.,INC
- Practice address
- 16502 Hawthorne Blvd
Lawndale, CA 90260-2915 - Phone
- (310) 370-4030
- Fax
- (310) 370-1089
- NPI assigned
- Oct 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Afshin Doostan, D.D.S.
- Title
- Owner
- Phone
- (310) 370-4030
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150624000544 | CA | Part B Supplier - Clinic/Group Practice | 7113238486 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gardena, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 46051 | CA | Yes |
Addresses
Primary practice location
16502 Hawthorne Blvd
Lawndale, CA 90260-2915
Mailing address
16502 Hawthorne Blvd
Lawndale, CA 90260-2915
Phone (310) 370-4030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G89838 | Medicaid | CA |
Other providers in Lawndale, CA
- Brian Alisoso Abellana
- Ac Enterprises, Inc
- Advanced Rehab Therapy
- Advanced Rehab Therapy Inc.
- Renna Ady
- Agapeheart Home Health Services LLC
- Kehinde Akintunji
- Albert Ehrhardt'S Beautiful Smile Dental Group
- Jhonatan Aleman
- Abdel Alhassan
All providers in Lawndale, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.