RODEF & YOUSEFI DENTAL CORPORATION (NPI# 1790334134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790334134 |
| Entity Type | Organization |
| Organization Name | RODEF & YOUSEFI DENTAL CORPORATION |
| Practice Address |
3736 Crenshaw Blvd Los Angeles CA 90016 |
| Mailing Address |
2225 E. Garvey Ave N. West Covina CA 91791 |
| Practice Telephone | 6264120200 |
| Practice Fax Number | 6262140037 |
| Mailing Telephone | 6264120200 |
| Mailing Fax Number | 6262140037 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | MR. FARIBORZ RODEF (PRESIDENT) |
| Authorized Official Telephone | 6264120200 |
| Is Organization Subpart | Y |
| Parent Organization Name | RODEF & YOUSEFI DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Childrens Dental Funzone | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124588652 | Rodef & Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-03-21 |
| Street Address |
3736 CRENSHAW BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278016 | Harold Ringgold Jr. | Counselor | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
| 1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
| 1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
| 1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
| 1063819084 | Karina Ann Chandler-ziegler | Counselor | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
| 1801299136 | Smith Medical Management | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
| 1366844144 | No Dorm Inc. | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
| 1891120853 | Margaret Yarbrough | General Practice | 3717 S. Labrea, #341, Los Angeles, CA 90016 | 2013-09-10 |
| 1821422346 | Circle of Help Foundation | Community/Behavioral Health | 4701 Rodeo Rd., Room #2, #3, Los Angeles, CA 90016 | 2013-09-03 |
| 1558635789 | Edwin Ray Coleman Sr. | Counselor | 2614 Crenshaw Blvd., Los Angeles, CA 90016 | 2012-03-06 |
| Find all providers in zip 90016 | ||||
| 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 |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1326535949 | Haejin Kang | Dentist | 3932 Wilshire Blvd Ste 200, Los Angeles, CA 90010-3307 | 2018-04-19 |
| 1609382860 | Dr Daniel Meir Klein Dds, Apc | Dentist | 5001 Wilshire Blvd Ste 209, Los Angeles, CA 90036-6104 | 2017-12-22 |
| 1154858082 | Jenny Garcia | Dentist | 1042 1/2 N Ardmore Ave, Los Angeles, CA 90029-2402 | 2017-05-23 |
| 1013365881 | Jessica Yoon Kyung Pack | Dentist | 1234 Wilshire Blvd Apt 212, Los Angeles, CA 90017-1974 | 2016-06-02 |
| 1588011225 | Chelsea Elese Zamudio | Dentist | 1125 S Wooster St, Los Angeles, CA 90035-1405 | 2016-05-23 |
| 1457707861 | Denisse Monroy | Dentist | 11900 Goshen Ave Apt 103, Los Angeles, CA 90049-6379 | 2016-05-04 |
| 1851784268 | Woo Ram Lee | Dentist | 1343 S Carmelina Ave, Apt 7, Los Angeles, CA 90025-1987 | 2015-03-09 |
| 1982010427 | Tiffany Wu | Dentist | 5262 E Beverly Blvd, Los Angeles, CA 90022-2002 | 2014-07-04 |
| 1447664578 | Jack Yeung | Dentist | 1222 Mcclellan Dr Apt 2, Los Angeles, CA 90025-1010 | 2014-06-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90016 |
Please comment or provide details below to improve the information on RODEF & YOUSEFI DENTAL 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.