HAMID COHEN KHERADYAR DDS INC. NPI 1891993036

NPI Information

  • NPI: 1891993036
  • Provider Name: HAMID COHEN KHERADYAR, DDS, INC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 138 S GAFFEY ST
    SAN PEDRO, CA
    ZIP 90731
  • Phone: (310) 514-9100

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NPI Details

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
1261QD0000XClinic/CenterDentalYes

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
1G89860OTHERCALIFORNIADENTI-CAL
239023OTHERCALIFORNIADENTIST
3444495OTHERCALIFORNIAPERIODONTIST

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: 11/21/2025

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