Lise Herrera is a Dentist in Chula Vista, California. Lise Herrera practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lise Herrera is 1164573879. The last update date is 2007-07-08.
Lise Herrera's current location address is 1428 Venters Dr., Chula Vista, California. You can contact this provider via phone number 6199130312 and fax number 6194224396. The mailing address for Lise Herrera is 1428 Venters Dr., Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lise Herrera |
|---|---|
| Address | 1428 Venters Dr., Chula Vista, California |
| Phone Number | 6199130312 |
| Fax Number | 6194224396 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1164573879 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1428 Venters Dr. |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 91911 |
| Phone Number | 6199130312 |
| Fax Number | 6194224396 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 36377 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Lise Herrera by the Centers for Medicare & Medicaid Services?
The Lise Herrera has been assigned the NPI (National Provider Identifier) 1164573879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lise Herrera?
The Lise Herrera is physically situated at 1428 Venters Dr., in the city of Chula Vista, state of CA, with the postal code 91911.
What is the Lise Herrera's area of specialization and corresponding taxonomy classification?
The Lise Herrera's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1164573879 to Lise Herrera?
The Centers for Medicare & Medicaid Services assigned the 1164573879 to Lise Herrera on 2007-01-16.
As of what date were the details related to Lise Herrera most recently updated or revised?
The information pertaining to Lise Herrera, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.