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SAGE BINA KOROURI DENTAL OFFICE OF LA TIJERA INC. NPI 1598430019


NPI Information

NPI: 1598430019
Provider Name: SAGE, BINA, KOROURI DENTAL OFFICE OF LA TIJERA, INC.

Doing Business As: PHD DENTAL OF WESTCHESTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6907 LA TIJERA BLVD STE A
WESTCHESTER, CA
ZIP 90045
Phone: (310) 645-0336
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SAGE, BINA, KOROURI DENTAL OFFICE OF LA TIJERA, INC. is a general practice dentist in Westchester, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SAGE, BINA, KOROURI DENTAL OFFICE OF LA TIJERA, INC. NPI is 1598430019. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phd Dental Of Westchester.

The provider's business location address is:

6907 LA TIJERA BLVD STE A
WESTCHESTER, CA
ZIP 90045-906
Phone: (310) 645-0336

The provider's authorized official is Amir Korouri .
The authorized official title is Secretary and has the following contact phone number (310) 927-5848.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 9/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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