HAMID COHEN KHERADYAR DDS INC. NPI 1891993036

NPI Information

NPI: 1891993036
Provider Name: HAMID COHEN KHERADYAR, DDS, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
138 S GAFFEY ST
SAN PEDRO, CA
ZIP 90731
Phone: (310) 514-9100
Get Directions

HAMID COHEN KHERADYAR, DDS, INC. is a dental clinic center in San Pedro, CA. HAMID COHEN KHERADYAR, DDS, INC. NPI is 1891993036. The provider is registered as an organization entity type.

The provider's business location address is:

138 S GAFFEY ST
SAN PEDRO, CA
ZIP 90731-430
Phone: (310) 514-9100
Fax: (310) 514-9119

The provider's authorized official is Hamid Cohen Kheradyar .
The authorized official title is Owner and has the following contact phone number (310) 514-9100.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 7/10/2007.

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	261QD0000X	Clinic/Center	Dental			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	G89860	OTHER	CALIFORNIA	DENTI-CAL
2	39023	OTHER	CALIFORNIA	DENTIST
3	444495	OTHER	CALIFORNIA	PERIODONTIST

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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