DANOUKH DENTAL CORP. (NPI# 1124686233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124686233 |
| Entity Type | Organization |
| Organization Name | DANOUKH DENTAL CORP. |
| Practice Address |
12271 La Mirada Blvd Ste 201 La Mirada CA 90638-1336 |
| Mailing Address |
27758 Santa Margarita Pkwy # 382 Mission Viejo CA 92691-6709 |
| Practice Telephone | 5624453555 |
| Mailing Telephone | 9495100225 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. RAMTIN KHAEF (OWNER) |
| Authorized Official Telephone | 9495100225 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| My La Mirada Dentist | Doing Business As Name - Organization |
| Street Address |
12271 LA MIRADA BLVD STE 201 |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635600 | Tae Kyun Ha | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
| Find all providers in zip 90638 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861822702 | Mehrabian & Ambarachyan Dental Corporation | Dentist | 15071 Imperial Hwy, La Mirada, CA 90638-1302 | 2013-11-13 |
| 1851527253 | Ryan N Le | Dentist | 15018 La Mirada Blvd, La Mirada, CA 90638-4743 | 2009-06-01 |
| 1548417439 | Naghmeh Yadegar, D.d.s., Inc. | Dentist | 14545 Telegraph Rd, La Mirada, CA 90638-1054 | 2008-08-21 |
| 1245406479 | Chong Hon Rha | Dentist | 14229 Imperial Hwy, La Mirada, CA 90638-1941 | 2008-05-07 |
| 1285844332 | John Roland Westermeyer | Dentist | 11900 La Mirada Blvd, Suite 7, La Mirada, CA 90638-1332 | 2007-05-23 |
| 1710195599 | Mark Ozaki | Dentist | 14241 Imperial Hwy, Suite M, La Mirada, CA 90638-1952 | 2007-05-18 |
| 1720113756 | Bhavi K Shah | Dentist | 16124 Rosecrans Ave Apt 14j, La Mirada, CA 90638-4241 | 2007-02-22 |
| 1386789170 | Myung Shin Kim | Dentist | 15500 La Mirada Blvd, La Mirada, CA 90638-5400 | 2007-02-20 |
| 1891848842 | Eynald Acebedo Duarte | Dentist | 13960 Valley View Ave, La Mirada, CA 90638-3503 | 2007-01-20 |
| 1245380427 | Chong H Rha Dds Inc | Dentist | 14229 E Imperial Hwy, La Mirada, CA 90638-1941 | 2007-01-11 |
| Find all providers in LA MIRADA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.