DR. DIANA BROUMANDI DDS
NPI 1194931618
Dentist - General Practice in Los Angeles, CA

Q: What is Diana Broumandi's NPI number?

The NPI number for Diana Broumandi is 1194931618. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Diana Broumandi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diana Broumandi was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 14, 2007

11645 WILSHIRE BLVD., #745, LOS ANGELES, CA 90025(310) 696-0100(310) 395-2288 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Diana Broumandi Dds NPPES

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

DR. DIANA BROUMANDI DDS (NPI 1194931618) is an individual general practice provider in Los Angeles, California, licensed in California (47046) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194931618

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DIANA BROUMANDICredential: DDS

Location Address11645 WILSHIRE BLVD., #745Los Angeles, CA 90025

Mailing Address11645 Wilshire Blvd., #745Los Angeles, CA 90025 · (310) 696-0100 · Fax (310) 696-0700

Phone(310) 696-0100

Fax(310) 395-2288

Sole ProprietorYes

Enumeration DateMay 14, 2007

Last NPPES UpdateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1194931618 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 · 47046

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.

11645 WILSHIRE BLVD., Los Angeles, CA 90025

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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.

LOS ANGELES CARDIOVASCULAR CONSULTANTS MEDICAL GROUP

Specialist

11645 WILSHIRE BLVD., SUITE 825
LOS ANGELES, CA 90025

Los Angeles County (310) 207-3320

DR. STEPHEN DAVID LEVINE DDS PERIODONTIST

Dentist

11645 WILSHIRE BLVD., STE 1001
LOS ANGELES, CA 90025

Los Angeles County (310) 208-7769

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 Diana Broumandi's NPI number?

The NPI number for Diana Broumandi is 1194931618. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Diana Broumandi located?

Diana Broumandi practices at 11645 Wilshire Blvd. #745, Los Angeles, CA 90025. The listed phone number is (310) 696-0100.

What is Diana Broumandi'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 Diana Broumandi was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.