Farnoosh Tabesh DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

57822 Issued in CA

Legal business name

FARNOOSH TABESH DDS INC

Practice address

10724 Riverside Dr
Suite a
Toluca Lake, CA 91602-2313

Phone

(818) 985-5777

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Farnoosh Tabesh, DDS

Title

President

Phone

(443) 928-8336

Specialties & licenses 1

Addresses

Other names 1

• Toluca Lake Cosmetic Dentsity Other name

Locations

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1982037420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10724 RIVERSIDE DR",
            "address_2": "SUITE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022313",
            "telephone_number": "818-985-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10724 RIVERSIDE DR",
            "address_2": "SUITE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022313",
            "telephone_number": "818-985-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARNOOSH TABESH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "TABESH",
        "authorized_official_first_name": "FARNOOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-928-8336",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toluca Lake Cosmetic Dentsity",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.