FARWEST DENTAL GROUP, PC
NPI 1023598836
Clinic/Center - Dental in Wilmington, CA

Active since August 21, 2018
1704 N AVALON BLVD, WILMINGTON, CA 90744(310) 835-5030(310) 835-6090 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Farwest Dental Group, Pc NPPES

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

FARWEST DENTAL GROUP, PC (NPI 1023598836) is a healthcare organization registered as a dental in Wilmington, California and active in the NPI registry since August 2018. The organization maintains 2 additional practice locations and lists Hassan Fayoumi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023598836
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFARWEST DENTAL GROUP, PC
Location Address1704 N AVALON BLVDWilmington, CA 90744-1433
Mailing Address1704 N Avalon BlvdWilmington, CA 90744-1433 · (310) 835-5030
Fax(310) 835-6090
Organization SubpartNo
Authorized OfficialHassan FayoumiCeo · (310) 699-1549
Enumeration DateAugust 21, 2018
NPI 1023598836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses Licensed in CA · 52604 Licensed in CA · 50718
1704 N AVALON BLVD, Wilmington, CA 90744

Secondary Practice Locations 2

Location 18880 S BroadwayLos Angeles, CA 90003-3635 · Phone (323) 758-6768
Location 21315 N Bullis RdCompton, CA 90221-1650 · Phone (424) 338-3060

Other Providers at the Same Location NPPES 2

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

Dentist
1704 N AVALON BLVD
WILMINGTON, CA 90744
Dentist (General Practice)
1704 N AVALON BLVD
WILMINGTON, CA 90744

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 Farwest Dental Group, PC's NPI number?

The NPI number for Farwest Dental Group, PC is 1023598836. It was assigned to this organization in the NPPES registry on August 21, 2018.

Where is Farwest Dental Group, PC located?

Farwest Dental Group, PC is located at 1704 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 835-5030.

What is Farwest Dental Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Farwest Dental Group, PC was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.