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DR. OMAR KHOLAKI D.D.S., M.D.
NPI 1750738555
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since May 21, 2016
2080 CENTURY PARK E STE 610, LOS ANGELES, CA 90067(424) 209-4190 Get Directions Write a Review

NPPES record last updated: June 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2019, May 21, 2016 (2 updates tracked since 2016).

About Dr. Omar Kholaki D.d.s., M.d. NPPES

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

DR. OMAR KHOLAKI D.D.S., M.D. (NPI 1750738555) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (102062) and active in the NPI registry since May 2016. He maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1750738555
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. OMAR KHOLAKICredential: D.D.S., M.D.
Location Address2080 CENTURY PARK E STE 610Los Angeles, CA 90067-2009
Mailing Address3863 Sky View LnGlendale, CA 91214-1006 · (818) 469-9502
Phone(424) 209-4190
Sole ProprietorNo
Enumeration DateMay 21, 2016
Last NPPES UpdateJune 25, 20222 updates tracked since enumeration
NPPES CertifiedJune 25, 2022
✔ NPI 1750738555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 102062
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2080 CENTURY PARK E STE 610, Los Angeles, CA 90067
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Secondary Practice Location 1

Location 13863 Sky View LnGlendale, CA 91214-1006 · Phone (818) 469-9502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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.

CENTURY CITY ANESTHESIA GROUP A PROFESSIONAL MEDICAL CORPORATION
Anesthesiology
2080 CENTURY PARK E STE 610
LOS ANGELES, CA 90067
Los Angeles County (310) 842-4811
JAY LEE DDS, MD
Dentist (Oral and Maxillofacial Surgery)
2080 CENTURY PARK E STE 610
LOS ANGELES, CA 90067
Los Angeles County (310) 842-4811
KATHERINE VILLANUEVA NP
Nurse Practitioner (Acute Care)
2080 CENTURY PARK E STE 610
LOS ANGELES, CA 90067
Los Angeles County (310) 842-4811
LA CENTER FOR ORAL & MAXIOLLOFACIAL SURGERY A CA GP
Surgery
2080 CENTURY PARK E STE 610
LOS ANGELES, CA 90067
Los Angeles County (310) 914-9150

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 Omar Kholaki's NPI number?

The NPI number for Omar Kholaki is 1750738555. It was assigned to this individual provider in the NPPES registry on May 21, 2016.

Where is Omar Kholaki located?

Omar Kholaki practices at 2080 Century Park E Ste 610, Los Angeles, CA 90067. The listed phone number is (424) 209-4190.

What is Omar Kholaki's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Omar Kholaki accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Omar Kholaki 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 Omar Kholaki was last updated on June 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.