Leo Jireh C Abelita Dmd Inc in Lomita - Dentist

Leo Jireh C Abelita Dmd Inc - NPI 1215101324

Leo Jireh C Abelita Dmd Inc is a Dentist in Lomita, California. Leo Jireh C Abelita Dmd Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Leo Jireh C Abelita Dmd Inc is 1215101324. The last update date is 2008-04-18.

Leo Jireh C Abelita Dmd Inc's current location address is 1809 And A Half Lomita Boulevard, Lomita, California. You can contact this provider via phone number 3105391224 and fax number 3105305796. The mailing address for Leo Jireh C Abelita Dmd Inc is 1809 And A Half Lomita Boulevard, Lomita, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Leo Jireh C Abelita Dmd Inc
Address 1809 And A Half Lomita Boulevard, Lomita, California
Phone Number 3105391224
Fax Number 3105305796
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO PRESID
Authorized Official Name Abelita C Leo Jireh
Credentials DMD
Telephone Number 3105391224

NPI Number Detail

NPI Number 1215101324
Provider Enumeration Date 2008-04-18
Last Updated Date 2008-04-18

Provider Mailing Address Detail

Address 1809 And A Half Lomita Boulevard
City Lomita
State California (CA)
Post Code 907171905
Phone Number 3105391224
Fax Number 3105305796

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 40521
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G9260602 CA DENTI CAL

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FAQs about Leo Jireh C Abelita Dmd Inc

What is the unique 10-digit identification code issued to Leo Jireh C Abelita Dmd Inc by the Centers for Medicare & Medicaid Services?

The Leo Jireh C Abelita Dmd Inc has been assigned the NPI (National Provider Identifier) 1215101324 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 street address where Leo Jireh C Abelita Dmd Inc is physically located?

The Leo Jireh C Abelita Dmd Inc is physically situated at the following address: 1809 And A Half Lomita Boulevard, Lomita, CA, 907171905.

What is Leo Jireh C Abelita Dmd Inc's area of expertise and its corresponding taxonomy classification?

The Leo Jireh C Abelita Dmd Inc's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Leo Jireh C Abelita Dmd Inc receive the assignment of its 1215101324 from the Centers for Medicare & Medicaid Services?

The Leo Jireh C Abelita Dmd Inc was issued its 1215101324 by the Centers for Medicare & Medicaid Services on 2008-04-18.

As of what date were the Leo Jireh C Abelita Dmd Inc's details last updated?

The information pertaining to the Leo Jireh C Abelita Dmd Inc, including its address, specialty, and other details, was most recently updated on 2008-04-18.

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