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K KOHANI D D S A PROFESSIONAL CORPORATION NPI 1932501640


NPI Information

NPI: 1932501640
Provider Name: K KOHANI D D S A PROFESSIONAL CORPORATION

Other Name: COSTA VERDE DENTISTRY & ORTHODONIC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4510 EXECUTIVE DR
SUITE 205
SAN DIEGO, CA
ZIP 92121
Phone: (858) 622-1007
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K KOHANI D D S A PROFESSIONAL CORPORATION is a general practice dentist in San Diego, 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. K KOHANI D D S A PROFESSIONAL CORPORATION NPI is 1932501640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Costa Verde Dentistry & Orthodonic.

The provider's business location address is:

4510 EXECUTIVE DR
SUITE 205
SAN DIEGO, CA
ZIP 92121-021
Phone: (858) 622-1007
Fax: (858) 622-1058

The provider's authorized official is Kami Kohani .
The authorized official title is Owner and has the following contact phone number 18586221007.

The enumeration date for this NPI number is 9/24/2014 and was last updated on 5/26/2015.


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 Practice39290CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11972710663OTHERCALIFORNIAMEDICARE NPI

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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