SOUTHLAND DENTAL CARE (NPI# 1659562098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659562098 |
Entity Type | Organization |
Organization Name | SOUTHLAND DENTAL CARE |
Practice Address |
4312 Woodman Ave Suite #100 Sherman Oaks CA 91423-5546 |
Practice Telephone | 8187888787 |
Practice Fax Number | 8187884858 |
Mailing Telephone | 8187888787 |
Mailing Fax Number | 8187884858 |
Enumeration Date | 2007-08-08 |
Last Update Date | 2009-04-28 |
Authorized Official Name | MRS. DELARAM HANOOKAI (PERIODONTICS) |
Authorized Official Telephone | 8187888787 |
Authorized Official Credential | DDS MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
53049 | CA | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
41919 | CA | Dental Providers |
Street Address |
4312 WOODMAN AVE SUITE #100 |
City | SHERMAN OAKS |
State | CA |
Zip Code | 91423-5546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972536399 | Cornerstone Medical Services Inc | Family Medicine | 4312 Woodman Ave, Suite 101, Sherman Oaks, CA 91423-5546 | 2006-07-09 |
1356792394 | Mend Medical Inc | Internal Medicine | 4312 Woodman Ave, Suite 102, Sherman Oaks, CA 91423-5546 | 2016-06-30 |
1467849745 | Mend Health Inc | Clinic/Center | 4312 Woodman Ave, Suite 102, Sherman Oaks, CA 91423-5546 | 2015-04-23 |
1477958197 | Anthony Cardillo Md | Emergency Medicine | 4312 Woodman Ave, Suite 102, Sherman Oaks, CA 91423-5546 | 2014-10-23 |
1912278144 | Halyna Zavada | Physical Medicine & Rehabilitation | 4312 Woodman Ave, Ste 102, Sherman Oaks, CA 91423-5546 | 2012-01-19 |
1427364009 | Serenity Medgroup Inc | Clinic/Center | 4312 Woodman Ave, Ste.102, Sherman Oaks, CA 91423-5546 | 2010-08-20 |
1427383496 | Danny Aframian | Dentist | 4312 Woodman Ave, # 100, Sherman Oaks, CA 91423-5546 | 2009-10-08 |
1023263167 | Michael M Abaian | Dentist | 4312 Woodman Ave, Sherman Oaks, CA 91423-5546 | 2008-11-17 |
1144241076 | Irving J Schwartz M.d. A Profeccional Corp | Family Medicine | 4312 Woodman Ave, 101, Sherman Oaks, CA 91423-5546 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790349652 | Emily Luu | Physician Assistant | 4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423 | 2019-04-25 |
1821568478 | Allen Tae Chung | Pharmacy | 13331 Moorpark St Apt 333, Sherman Oaks, CA 91423 | 2018-11-27 |
1790277267 | Sheridan Kesselman | Counselor | 14272 Valley Vista Blvd., Sherman Oaks, CA 91423 | 2018-05-31 |
1033617048 | San Fernando Valley Treatment Ctr.-anxiety Disorders | Social Worker | 13701 Riverside Dr. #508, Sherman Oaks, CA 91423 | 2018-01-24 |
1417468737 | Ashford Dental Sherman Oaks | Dentist | 13327 Moorpark St, Sherman Oaks, CA 91423 | 2017-10-13 |
1558883470 | Amedi Home Health Care Inc | Home Health | 14242 Ventura Blvd Suite 207, Sherman Oaks, CA 91423 | 2017-07-12 |
1902341183 | Oaks Community Pharmacy Inc | Pharmacy | 13322 Riveside Dr, Sherman Oaks, CA 91423 | 2016-12-27 |
1558760926 | Baharak Ghaffarzadegan | Dentist | 4346 Matilija Ave #107, Sherman Oaks, CA 91423 | 2014-08-21 |
1972947760 | Gwen S. Barry | Marriage & Family Therapist | 13400 Riverside Drive Suite 318, Sherman Oaks, CA 91423 | 2013-04-23 |
1043552250 | Community Care Consultants | Social Worker | 14401 Hartsook #315, Sherman Oaks, CA 91423 | 2013-03-26 |
Find all providers in zip 91423 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427261718 | Delaram Hanookai | Dentist | 4312 Woodman Ave Ste 100, Sherman Oaks, CA 91423-5547 | 2007-05-07 |
1164523114 | Paulo Mundim Camargo | Dentist | 3928 Kingswood Road, Sherman Oaks, CA 91403-5029 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
Find all providers with the same taxonomy |
City | SHERMAN OAKS |
Zip Code | 91423 |
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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.