KOHAN & RODEF DENTAL CORPORATION (NPI# 1235623190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235623190 |
| Entity Type | Organization |
| Organization Name | KOHAN & RODEF DENTAL CORPORATION |
| Other Organization Name | CHILDRENS DENTAL FUNZONE |
| Practice Address |
500 San Fernardo Mission Blvd Suite #2 San Fernardo CA 91340 |
| Mailing Address |
2233 E. Garvey Ave N. West Covina CA 91791 |
| Practice Telephone | 6269663033 |
| Mailing Telephone | 6269663033 |
| Mailing Fax Number | 6262140037 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | MR. FARIBORZ RODEF (PRESIDENT) |
| Authorized Official Telephone | 6269663033 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | KOHAN & RODEF DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 62906 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
38356 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Childrens Dental Funzone | Doing Business As Name - Organization |
| Street Address |
500 SAN FERNARDO MISSION BLVD SUITE #2 |
| City | SAN FERNARDO |
| State | CA |
| Zip Code | 91340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| 1992082960 | B. Deirmenjian, Dds, Inc. | Dentist | 12940 Foothill Blvd., C, Sn Fernando, CA 91340 | 2011-11-04 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN FERNARDO |
| Zip Code | 91340 |
Please comment or provide details below to improve the information on KOHAN & RODEF DENTAL CORPORATION.
| 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.