HOMAN HANASAB DENTAL CORPORATION (NPI# 1770022428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770022428 |
| Entity Type | Organization |
| Organization Name | HOMAN HANASAB DENTAL CORPORATION |
| Other Organization Name | AMERICAN DENTAL GROUP OF WEST COVINA |
| Practice Address |
436 N Sunset Ave West Covina CA 91790-1652 |
| Practice Telephone | 6263377271 |
| Practice Fax Number | 6263378125 |
| Mailing Telephone | 6263377271 |
| Mailing Fax Number | 6263378125 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | DR. HOMAN HANASAB (PRESIDENT) |
| Authorized Official Telephone | 6263377271 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | CA | Dental Providers | |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
CA | Dental Providers | |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
CA | Dental Providers | |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
CA | Dental Providers | |
| N | 124Q00000X | Dental Hygienist | CA | Dental Providers | |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| American Dental Group of West Covina | Doing Business As Name - Organization |
| Street Address |
436 N SUNSET AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914154 | American Dental Group | Dentist | 436 N Sunset Ave, West Covina, CA 91790-1652 | 2008-06-06 |
| 1629304282 | Ramzi Dental Corporation | Dentist | 436 N Sunset Ave, West Covina, CA 91790-1652 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1942370317 | Nguyen and Ta Professional Dental Corp. | Dentist | 1740 W Cameron Ave Ste 106, West Covina, CA 91790-2719 | 2006-11-09 |
| 1144408725 | Jackie Chi | Dentist | 2707 E Valley Blvd, Ste. 107, West Covina, CA 91792-3195 | 2008-02-05 |
| 1003953563 | Thai Thuy Ta | Dentist | 1740 W Cameron Ave Ste 106, West Covina, CA 91790-2719 | 2007-01-31 |
| 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 | WEST COVINA |
| Zip Code | 91790 |
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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.