JASON V KBOUDI D.D.S. NPI 1003999707

NPI Information

NPI: 1003999707
Provider Name: JASON V KBOUDI, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
8641 WILSHIRE BLVD STE 205
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 626-1212
Get Directions

Jason V Kboudi, D.D.S. is a general practice dentist in Beverly Hills, 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. Jason V Kboudi, D.D.S. NPI is 1003999707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8641 WILSHIRE BLVD STE 205
BEVERLY HILLS, CA
ZIP 90211-920
Phone: (310) 626-1212
Fax: (310) 626-0111

The enumeration date for this NPI number is 10/24/2006 and was last updated on 1/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	13322	TEXAS	No
2	1223G0001X	Dentist	General Practice	19485	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	82D611	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	803551	OTHER	TEXAS	UNITED CONCORDIA

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

NPI Synchronization or Removal

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