Organization Active NPI

Meshkinfam Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1962995076
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62734 Issued in CA
Legal business name
MESHKINFAM DENTAL CORPORATION
Practice address
1330 S Vermont Ave Ste B
Los Angeles, CA 90006-4502
Phone
(310) 666-8204
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Dr. Benjamin Meshkinfam, DDSNPI 1982962023
Title
Owner
Phone
(310) 666-8204

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
Dental Clinic/Center 261QD0000X 62734 CA Primary

Addresses

Primary practice location

1330 S Vermont Ave Ste B
Los Angeles, CA 90006-4502

Mailing address

1330 S Vermont Ave Ste B
Los Angeles, CA 90006-4502
Phone (310) 666-8204

National Provider Directory

National Provider Directory

Locations

1330 S Vermont Ave
#B
Los Angeles, CA 90006
Phone (310) 666-8204

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1962995076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S VERMONT AVE STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064502",
            "telephone_number": "310-666-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S VERMONT AVE STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064502",
            "telephone_number": "310-666-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESHKINFAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "MESHKINFAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-666-8204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62734",
            "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 Jun 13, 2018; 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.