PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION (NPI# 1942780853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942780853 |
| Entity Type | Organization |
| Organization Name | PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION |
| Other Organization Name | MAGICLAND DENTAL GROUP OF RIALTO |
| Practice Address |
1205 W Renaissance Pkwy Suite 240 Rialto CA 92376 |
| Mailing Address |
12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 |
| Practice Telephone | 3108209933 |
| Practice Fax Number | 3108200408 |
| Mailing Telephone | 3104094225 |
| Mailing Fax Number | 3108200408 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | MIGUEL REYES (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Telephone | 3108209933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| MAGICLAND DENTAL GROUP OF RIALTO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| Street Address |
1205 W RENAISSANCE PKWY SUITE 240 |
| City | RIALTO |
| State | CA |
| Zip Code | 92376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| 1043638752 | Luisa Limon | Marriage & Family Therapist | 850 E. Foothill Ave., Rialto, CA 92376 | 2014-03-31 |
| Find all providers in zip 92376 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861030900 | Lilian Adel Mikhail | Dentist | 2483 N Lancewood Ave, Rialto, CA 92377-8433 | 2019-12-19 |
| 1508319153 | Min Jeong Cho | Dentist | 2019 N Riverside Ave # C, Rialto, CA 92377 | 2016-08-01 |
| 1407273030 | Cornerstone Dental Care Inc | Dentist | 2836 W Rialto Ave, # A, Rialto, CA 92376-6816 | 2014-03-20 |
| 1003259268 | Patelprofessional Dental Corp. | Dentist | 579 E Foothill Blvd, Rialto, CA 92376-5223 | 2013-04-08 |
| 1124382296 | Esparza Dentistry | Dentist | 786 E Foothill Blvd, Ste D, Rialto, CA 92376-5285 | 2012-07-03 |
| 1972877231 | Elizabeth L Giles | Dentist | 350 N Riverside Ave, Rialto, CA 92376-5926 | 2012-03-05 |
| 1912226804 | Kim&park A Dental Corporation | Dentist | 1374 W Foothill Blvd Ste 2e, Rialto, CA 92376-4621 | 2010-05-18 |
| 1760685374 | Barbara Gray | Dentist | 1725 N Riverside Ave, Rialto, CA 92376-8062 | 2007-06-09 |
| 1184837023 | Judith K Wipf | Dentist | 1745 N Riverside Ave, Rialto, CA 92376-8062 | 2007-05-08 |
| 1982816542 | Henry Sang Kwon | Dentist | 2836 W Rialto Ave # A, Rialto, CA 92376-6743 | 2007-05-04 |
| Find all providers in RIALTO | ||||
Please comment or provide details below to improve the information on PAKRAVAN, MANAVI & COHEN 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.