Provider Demographics
NPI:1629258785
Name:OJAN GHALCHI DMD INC
Entity Type:Organization
Organization Name:OJAN GHALCHI DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHALCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:213-483-3020
Mailing Address - Street 1:281 SOUTH COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026
Mailing Address - Country:US
Mailing Address - Phone:213-483-3020
Mailing Address - Fax:210-483-3079
Practice Address - Street 1:281 SOUTH COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026
Practice Address - Country:US
Practice Address - Phone:213-483-3020
Practice Address - Fax:210-483-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA341061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty