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KHASHAYAR KHODADADI DDS INC
NPI 1003033556
Dentist - General Practice in Los Angeles, CA

Active since April 19, 2007
11900 S. AVALON BLVD., SUITE 101, LOS ANGELES, CA 90061(323) 834-0100(323) 834-0101 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khashayar Khodadadi Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHASHAYAR KHODADADI DDS INC (NPI 1003033556) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Khashayar Khodadadi, President, as its authorized official.

NPPES Registry Identity

NPI1003033556
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKHASHAYAR KHODADADI DDS INC
Location Address11900 S. AVALON BLVD., SUITE 101Los Angeles, CA 90061
Mailing Address11900 S. Avalon Blvd., Suite 101Los Angeles, CA 90061 · (323) 834-0100 · Fax (323) 834-0101
Phone(323) 834-0100
Fax(323) 834-0101
Organization SubpartNo
Authorized OfficialKhashayar KhodadadiPresident · (323) 834-0100
Enumeration DateApril 19, 2007
Last NPPES UpdateJune 14, 2010
✔ NPI 1003033556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43026
Definition
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.
11900 S. AVALON BLVD., Los Angeles, CA 90061
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Other Identifiers 1

OtherG93919-01CA · Denti-cal Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHASHAYAR KHODADADI D.D.S
Dentist (General Practice)
11900 S. AVALON BLVD., SUITE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 834-0100
KRISTEEN FRANCEEN ESQUIBEL CCDC
Counselor (Addiction (Substance Use Disorder))
11900 S. AVALON BLVD., SUITE 200
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500
JOSE RODRIGUEZ CCDC
Counselor (Addiction (Substance Use Disorder))
11900 S. AVALON BLVD., SUITE 200
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500
SUMMER NEAL
Counselor (Addiction (Substance Use Disorder))
11900 S. AVALON BLVD., SUITE 200
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khashayar Khodadadi Dds Inc's NPI number?

The NPI number for Khashayar Khodadadi Dds Inc is 1003033556. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Khashayar Khodadadi Dds Inc located?

Khashayar Khodadadi Dds Inc is located at 11900 S. Avalon Blvd. Suite 101, Los Angeles, CA 90061. The listed phone number is (323) 834-0100.

What is Khashayar Khodadadi Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Khashayar Khodadadi Dds Inc accept?

Health plans from UnitedHealthcare list Khashayar Khodadadi Dds Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khashayar Khodadadi Dds Inc was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.