PEGAH GHASSEMI BAKHTIARI DDS INC

Address: 12756 West Washington Blvd, Los Angeles, CA 90066
Phone: 3108226066

PEGAH GHASSEMI BAKHTIARI DDS INC (NPI# 1659820686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659820686
Entity Type Organization
Organization Name PEGAH GHASSEMI BAKHTIARI DDS INC
Other Organization Name THE CULVER MARINA DENTAL GROUP
Practice Address 12756 West Washington Blvd
Los Angeles
CA 90066
Mailing Address 12756 W Washington Blvd
Los Angeles
CA 90066-2309
Practice Telephone 3108226066
Mailing Telephone 3108226066
Enumeration Date 2016-10-03
Last Update Date 2016-10-03
Authorized Official Name MS. PEGAH GHASSEMI BAKHTIARI (DR)
Authorized Official Telephone 8186325877
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 64404 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
The Culver Marina Dental Group Doing Business As Name - Organization

Office Location

Street Address 12756 WEST WASHINGTON BLVD
City LOS ANGELES
State CA
Zip Code 90066

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1174015622 Nicole Hiorns Occupational Therapist 11605 Washington Place, Los Angeles, CA 90066 2018-05-31
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1669991568 Nexus Recovery Services, LLC Clinic/Center 11515 Washington Blvd, Culver City, CA 90066 2017-09-12
1336669381 Andrea Michelle Bakke Dentist 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1649727488 Chelsea Silverman Counselor 12031 Pacific Ave, Apt 1, Los Angeles, CA 90066 2016-09-09
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851992481 Centinela Joseph Dental Group Dentist 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 2020-11-02
1134729601 Enas Tayyem Dentist 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 2020-10-26
1639776073 Stephanie Jeanne Bauman Dentist 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 2020-10-08
1316544570 Azzah Widatalla Dentist 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 2020-10-01
1104433796 Irena Starchenko Dentist 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 2020-09-28
1134734353 Mark Park Dentist 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 2020-09-14
1740895150 Chantelle Aabedi Dentist 2711 Casiano Rd, Los Angeles, CA 90077-9007 2020-09-11
1801401542 Yojeong Cho Dentist 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 2020-09-10
1518572247 William Hwang Dentist 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 2020-09-10
1912511056 Shervin Moshashaei Dentist 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 2020-09-05
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90066

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Dataset Information

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.