DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP - NPI 1104766849

Q: What is Diane Boval Dds A Professional Dental Corp's specialty?

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

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About Diane Boval Dds A Professional Dental Corp NPPES

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

DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP (NPI 1104766849), doing business as Gold Coast Dental, is a healthcare organization registered as a general practice in Canoga Park, California and active in the NPI registry since March 2026. The organization lists Alan Boval, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104766849

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDIANE BOVAL DDS A PROFESSIONAL DENTAL CORP

Location Address21729 VANOWEN STCanoga Park, CA 91303-2618

Mailing Address901 W Whittier BlvdLa Habra, CA 90631-3743 · (562) 352-0397 · Fax (562) 265-1574

Phone(562) 356-0948

Organization SubpartYes

Authorized OfficialAlan BovalCeo · (562) 905-8338

Enumeration DateMarch 31, 2026

NPPES CertifiedMarch 31, 2026

✔ NPI 1104766849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

21729 VANOWEN ST, Canoga Park, CA 91303

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Other Names 1

Doing Business AsGold Coast Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

WESTERN DENTAL SERVICES, INC.

Dentist

21729 VANOWEN ST
CANOGA PARK, CA 91303

Los Angeles County (818) 898-0858

DR. SAMIR YOUNAN

Dentist

21729 VANOWEN ST
CANOGA PARK, CA 91303

Los Angeles County (818) 898-1409

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 Diane Boval Dds A Professional Dental Corp's NPI number?

The NPI number for Diane Boval Dds A Professional Dental Corp is 1104766849. It was assigned to this organization in the NPPES registry on March 31, 2026. The provider is doing business as Gold Coast Dental.

Where is Diane Boval Dds A Professional Dental Corp located?

Diane Boval Dds A Professional Dental Corp is located at 21729 Vanowen St, Canoga Park, CA 91303. The listed phone number is (562) 356-0948.

What is Diane Boval Dds A Professional Dental Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Diane Boval Dds A Professional Dental Corp was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.