NPIMap

Organization Active NPI

Cohen Sedgh, Manavi & Pakravan Dental Corp

  • Dentist
  • Hemet, CA
National Provider Identifier
1972026920
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39862 Issued in CA
Legal business name
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Practice address
3027 W Florida Ave # P-1
Hemet, CA 92545-3617
Phone
(310) 409-4225
Fax
(310) 820-0408
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Miguel Reyes
Title
Q/a Contract & Compliance Manager
Phone
(310) 820-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 39862 CA Primary

Addresses

Primary practice location

3027 W Florida Ave # P-1
Hemet, CA 92545-3617

Mailing address

12121 Wilshire Blvd Ste 1111
Los Angeles, CA 90025-1188
Phone (310) 820-9933

Other names 1

  • WEST COAST DENTAL GROUP OF HEMET Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cohen Sedgh Manavi Pakravan Dental Corporation23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

3027 W Florida Ave
#P1
Hemet, CA 92545
Phone (310) 409-4225

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1972026920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BLVD STE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251188",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 W FLORIDA AVE # P-1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453617",
            "telephone_number": "310-409-4225",
            "fax_number": "310-820-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "Q/A CONTRACT & COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "310-820-9933"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTAL GROUP OF HEMET",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEST COAST DENTAL GROUP OF HEMET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.