Provider Demographics
NPI:1336873397
Name:KHIMANI, SONIKA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONIKA
Middle Name:
Last Name:KHIMANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17350 HUMPHREYS PKWY UNIT 1405
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-3718
Mailing Address - Country:US
Mailing Address - Phone:424-270-5545
Mailing Address - Fax:
Practice Address - Street 1:44770 VALLEY CENTRAL WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-6527
Practice Address - Country:US
Practice Address - Phone:805-702-7243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CADDS109127122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program