POURSHIRAZI H CORPORATION (NPI# 1255606547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255606547 |
| Entity Type | Organization |
| Organization Name | POURSHIRAZI H CORPORATION |
| Other Organization Name | DIAMOND DENTAL AND ORTHODONTICS |
| Practice Address |
31500 Grape St Suite 8 Lake Elsinore CA 92532-9702 |
| Practice Telephone | 9514711628 |
| Practice Fax Number | 9514711638 |
| Mailing Telephone | 9514711628 |
| Mailing Fax Number | 9514711638 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | KEELY ANDERSON GREENO (OFFICE COORDINATOR) |
| Authorized Official Telephone | 9516729457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Diamond Dental and Orthodontics | Doing Business As Name - Organization |
| Street Address |
31500 GRAPE ST SUITE 8 |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92532-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
| 1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
| 1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
| 1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
| 1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
| Find all providers in zip 92532 | ||||
| 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 |
|---|---|---|---|---|
| 1215576699 | Kim Yen Thi Nguyen | Dentist | 18285 Collier Ave Ste B, Lake Elsinore, CA 92530-2786 | 2020-01-02 |
| 1457821209 | James Huang | Dentist | 31571 Canyon Estates Dr Ste 200, Lake Elsinore, CA 92532-0412 | 2018-12-04 |
| 1285896241 | Maria X Contreras | Dentist | 18285 Collier Ave, Suite B, Lake Elsinore, CA 92530-2786 | 2008-06-30 |
| 1760675433 | Robert Wall Link Jr. | Dentist | 29280 Central Ave, Unit F, Lake Elsinore, CA 92532-2219 | 2007-08-24 |
| 1952465148 | Watanabe and Lynn Professional Dental Corporation | Dentist | 18285 Collier Ave., Ste. B, Lake Elsinore, CA 92530 | 2006-12-21 |
| 1942370887 | Richard Glenn Myatt | Dentist | 31737 Riverside Dr, Suite B, Lake Elsinore, CA 92530-7890 | 2006-11-08 |
| 1679651947 | James T Baugh | Dentist | 125 W Peck St, Lake Elsinore, CA 92530 | 2006-11-02 |
| 1386750719 | Steven C Lynn | Dentist | 29273 Central Ave, Ste. A, Lake Elsinore, CA 92532-2254 | 2006-08-21 |
| 1790708345 | William Benjamin Thomas | Dentist | 506 W Graham Ave, Ste. 205, Lake Elsinore, CA 92530-3666 | 2006-07-25 |
| 1184650418 | Jana H Tran | Dentist | 361 Railroad Canyon Rd Ste A, Lake Elsinore, CA 92532-4455 | 2006-06-26 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92532 |
Please comment or provide details below to improve the information on POURSHIRAZI H 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.