Farzadkohanbash Inc. Dba Uniteddentaloffice

Primary specialty

DentistTaxonomy code 122300000X

License

41441 Issued in CA

Legal business name

FARZADKOHANBASH INC. DBA UNITEDDENTALOFFICE

Practice address

1720 S Western Ave
Los Angeles, CA 90006-5804

Phone

(323) 733-0570

Fax

(323) 733-0540

NPI assigned

Apr 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Farzad Kohanbash, DDSNPI 1992914675

Title

President

Phone

(323) 733-0570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Farzad Kohanbash, DDS INC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1992914675
  NPD (past) Authorized official

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1942526157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065804",
            "telephone_number": "323-733-0570",
            "fax_number": "323-733-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065804",
            "telephone_number": "323-733-0570",
            "fax_number": "323-733-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZADKOHANBASH INC. DBA UNITEDDENTALOFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "KOHANBASH",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-733-0570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE1 INDIVIDUAL NPI",
            "identifier": "1992914675",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farshid Nejad, D.P.M. a Professional Corporation
• Johanna Faruq
• Farwest Dental Group
• Pedram Farzadfar, PHARM.D
• Pouya Farzadfar, PHARM.D.
• Afshin Farzadmehr
• Farshad Farzam
• Michael Daniel Farzam, M.D.
• Youram Farzam
• Ariella Farzan-Roth, MD

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.