Makhsudova Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G89888-02 Issued in CA

Legal business name

MAKHSUDOVA DENTAL CORPORATION

Practice address

4900 Whittier Blvd
Los Angeles, CA 90022-3115

Phone

(323) 780-0009

Fax

(323) 780-9744

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Lala Makhsudova

Title

President

Phone

(323) 780-0009

Specialties & licenses 1

Addresses

Other names 1

• Kids Dental Kare Doing business as

Tax ID family

Kids Dental Kare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Makhsudova Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1437224664
  NPD tax ID

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1972709509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223115",
            "telephone_number": "323-780-0009",
            "fax_number": "323-780-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223115",
            "telephone_number": "323-780-0009",
            "fax_number": "323-780-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKHSUDOVA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "MAKHSUDOVA",
        "authorized_official_first_name": "LALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-780-0009"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "G89888-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Kare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mai Mahmoud Makhlouf, DO
• Makhmalbaf & Mirmarashi Dental Partnership
• Hayk Makhmuryan
• Elias Makhoul, DO
• Makhsudova Dental Corporation
• Lala Makhsudova
• Ahmed Maki, DO
• Jane Sylvia Maki, LMFT
• Jessica Makin
• Israel Philip Makinde

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.