EBI NIKJOO DENTAL CORP (NPI# 1730649955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730649955 |
| Entity Type | Organization |
| Organization Name | EBI NIKJOO DENTAL CORP |
| Practice Address |
5399 Orange Ave Long Beach CA 90805-6017 |
| Practice Telephone | 5624221000 |
| Mailing Telephone | 5624221000 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | EBI DONAVAN NIKJOO (OWNER) |
| Authorized Official Telephone | 5624221000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316315724 | Ebi Nikjoo Dental Corp | Clinic/Center | 13549 Roscoe Blvd, Panorama City, CA 91402-5500 | 2015-09-02 |
| Street Address |
5399 ORANGE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184733115 | Shamanna Mohan | Dentist | 5399 Orange Ave, Long Beach, CA 90805 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962061036 | Sheryl A. Kam Dds & Curtis P. Kam Dds Ptrs | Clinic/Center | 3816 Woodruff Ave Ste 310, Long Beach, CA 90808-2146 | 2019-06-11 |
| 1790228849 | A Tsibel Dds Dental Corp | Clinic/Center | 2211 E 7th St Ste C, Long Beach, CA 90804-4515 | 2016-11-21 |
| 1174986152 | Emigh Dental Partnership A General Partnership | Clinic/Center | 5500 E Atherton St Ste 430, Long Beach, CA 90815-4018 | 2016-03-29 |
| 1750793345 | Ananda R. Murthy, Dds, Inc. | Clinic/Center | 620 E San Antonio Dr, Long Beach, CA 90807-2203 | 2014-05-30 |
| 1982947073 | Dental Wear | Clinic/Center | 1401 E 4th St, Suite A, Long Beach, CA 90802-1800 | 2013-03-27 |
| 1588273411 | Ahmad Karimi Dmd Inc. | Clinic/Center | 3840 Woodruff Ave Ste 208, Long Beach, CA 90808-2149 | 2020-07-27 |
| 1124646047 | David C Yang Dds, Inc. | Clinic/Center | 801 E Anaheim St, Long Beach, CA 90813-3550 | 2020-07-07 |
| 1255953121 | Daniel Feldman Dds Inc | Clinic/Center | 2700 N Bellflower Blvd Ste 117, Long Beach, CA 90815-1100 | 2020-05-13 |
| 1033756465 | Teresa Avendano-galvez Dmd Inc | Clinic/Center | 1414 W Willow St, Long Beach, CA 90810-3119 | 2019-12-04 |
| 1295389815 | Hyun W Kim Dds Inc | Clinic/Center | 1777 N Bellflower Blvd Ste 102, Long Beach, CA 90815-4019 | 2019-07-31 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on EBI NIKJOO DENTAL CORP.
| 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.