Provider Demographics
NPI:1699651000
Name:JOURABCHI NORWALK DENTAL CORP.
Entity type:Organization
Organization Name:JOURABCHI NORWALK DENTAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOURABCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-825-1618
Mailing Address - Street 1:340 S CANON DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4516
Mailing Address - Country:US
Mailing Address - Phone:818-825-1618
Mailing Address - Fax:
Practice Address - Street 1:11550 ROSECRANS AVE STE 101
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3881
Practice Address - Country:US
Practice Address - Phone:562-777-1128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty