DR. AFSANEH MATIN (NPI# 1609901305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609901305 |
| Entity Type | Individual |
| Full Name | DR. AFSANEH MATIN |
| Credential | DDS |
| Practice Address |
455 E Columbia St Long Beach CA 90806-1620 |
| Mailing Address |
2807 N Valley Dr Manhattan Beach CA 90266-2409 |
| Practice Telephone | 5629333141 |
| Practice Fax Number | 5629332049 |
| Mailing Telephone | 3102005047 |
| Mailing Fax Number | 5629332049 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
41854 | CA | Dental Providers |
| Street Address |
455 E COLUMBIA ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306942073 | Mark Dressner | Family Medicine | 455 E Columbia St, Suite 201-206, Long Beach, CA 90806-1620 | 2006-09-16 |
| 1528615614 | Michelle Comroe | Dentist | 455 E Columbia St, Long Beach, CA 90806-1620 | 2019-08-22 |
| 1659804391 | Arman Parsa | Dentist | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2017-04-10 |
| 1275065039 | Wesley Orianna Wong | Pediatrics | 455 E Columbia St, Long Beach, CA 90806-1620 | 2017-03-31 |
| 1528413903 | Jenny Kry | Nurse Practitioner | 455 E Columbia St, Long Beach, CA 90806-1620 | 2016-05-04 |
| 1962879684 | Antonia Valencia | Dental Assistant | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2015-08-28 |
| 1508233222 | Maria L. Negriete-bleazard | Dental Assistant | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2015-08-28 |
| 1962895656 | Shannon Ly | Rehabilitation Practitioner | 455 E Columbia St, Suites 201 & 6, Long Beach, CA 90806-1620 | 2015-03-05 |
| 1053653782 | Long Beach Memorial Medical | Durable Medical Equipment & Medical Supplies | 455 E Columbia St, Long Beach, CA 90806 | 2013-03-20 |
| 1265793798 | Vouchmeng Sieng | Community Health Worker | 455 E Columbia St, 201 & 6, Long Beach, CA 90806-1620 | 2012-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1528261534 | Medhat N. Nashed, Dds, Ms Inc | Dentist | 4200 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804-2107 | 2007-06-07 |
| 1871578377 | Glen Shanock | Dentist | 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 | 2005-12-07 |
| 1730628884 | Glen Shanock's Dentistry, PC | Dentist | 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 | 2017-02-21 |
| 1205082708 | Gabriela Cervantes | Dentist | 3320 N Los Coyotes Diagonal, Long Beach, CA 90808-3918 | 2008-08-15 |
| 1659401842 | Santos Cortez | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2007-03-06 |
| 1952431132 | Estela Sanchez | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2007-03-06 |
| 1235227836 | William John Worden | Dentist | 5175 E Pacific Coast Hwy, Suite#204, Long Beach, CA 90804-3317 | 2006-10-10 |
| 1316040397 | Erica Fran Sutter | Dentist | 202 W Park Ave, Long Beach, NY 11561-3212 | 2006-09-06 |
| 1922116730 | Santos Cortez, Dds, Inc. | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2006-08-29 |
| 1437266376 | Ana M Planells | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2006-08-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on DR. AFSANEH MATIN.
| 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.