Provider Demographics
NPI:1023122330
Name:JAHANGIRI DDS INC.
Entity type:Organization
Organization Name:JAHANGIRI DDS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHANGIRI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-693-0788
Mailing Address - Street 1:14412 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-2105
Mailing Address - Country:US
Mailing Address - Phone:562-693-0788
Mailing Address - Fax:562-693-6813
Practice Address - Street 1:14412 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-2105
Practice Address - Country:US
Practice Address - Phone:562-693-0788
Practice Address - Fax:562-693-6813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA436111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0024396OtherAETNA DMO
CA5332OtherPACIFIC UNION DENTAL
CA7032OtherPACIFICARE
CA971074OtherUNITED CONCORDIA
CA002501OtherDELTA DENTAL PMI
CA100450OtherDENTAL HEALTH SERVICES
CA239078OtherCIGNA
CAB43611OtherDENTICAL
CA55292OtherSAFE GUARD HEALTHY FAM.
CA5332OtherPACIFIC UNION DENTAL