Kevin La is a Dentist in Fullerton, California. Kevin La practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin La is 1396885349. The last update date is 2007-07-08.
Kevin La's current location address is 1401 S Brookhurst Rd Ste 104, Fullerton, California. You can contact this provider via phone number 7148792828 and fax number 7148792226. The mailing address for Kevin La is 1401 S Brookhurst Rd Ste 104, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin La |
|---|---|
| Address | 1401 S Brookhurst Rd Ste 104, Fullerton, California |
| Phone Number | 7148792828 |
| Fax Number | 7148792226 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1396885349 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1401 S Brookhurst Rd Ste 104 |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928334403 |
| Phone Number | 7148792828 |
| Fax Number | 7148792226 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 48734 |
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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 assigned to Kevin La by the Centers for Medicare & Medicaid Services?
The Kevin La has been issued the NPI (National Provider Identifier) 1396885349, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kevin La located?
The Kevin La is located at 1401 S Brookhurst Rd Ste 104, Fullerton, CA 928334403.
What is the Kevin La's specialty and taxonomy code?
The Kevin La's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Kevin La receive the assignment of its 1396885349 from the Centers for Medicare & Medicaid Services?
The Kevin La was issued its 1396885349 by the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information regarding Kevin La most recently updated?
The details pertaining to the Kevin La, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA