Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SIAMAK KHAKSHOOY D.D.S INC.
Active
Organization
SIAMAK KHAKSHOOY D.D.S INC.
Active
Parent organization
SIAMAK KHAKSHOOY D.D.S INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIAMAK KHAKSHOOY D.D.S INC.
Authorized official
SIAMAK KHAKSHOOY D.D.S (DENTIST)
(310) 925-9991
Entity
Organization
Contact information
Practice address
3451 W CENTURY BLVD STE B1, INGLEWOOD, CA 90303-1228
(310) 330-9000
(310) 330-9303
Mailing address
3451 W CENTURY BLVD STE B1, INGLEWOOD, CA 90303-1228
(310) 330-9000
(310) 330-9303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750437109
DENTICAL
—
Enumeration date
08/21/2007
Last updated
08/21/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up