BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC. – NPI #1417613746
Clinic/Center

BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC. is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1417613746 to BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC. on November 10, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC. below.

NPI Profile for
BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC.

NPI Number
1417613746
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC.
Primary location
6200 WILSHIRE BLVD STE 1109
LOS ANGELES, CA 90048-5812
Phone: (323) 238-8114 Fax: (323) 933-3268
Mailing address
144 N WILLAMAN DR
BEVERLY HILLS, CA 90211-2113
Phone: Fax:
Organization Subpart
No
Authorized Official
BENJAMIN POURMORADY
OWNER
Phone: (310) 801-5828
Updated
Certification Date
Nov 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.