John Pedersen is a Dentist in Los Angeles, California. John Pedersen practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Pedersen is 1295780922. The last update date is 2007-08-22.
John Pedersen's current location address is 12504 W Washington Blvd, Los Angeles, California. You can contact this provider via phone number 3103906272 and fax number 3103906674. The mailing address for John Pedersen is 12504 W Washington Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Pedersen |
|---|---|
| Address | 12504 W Washington Blvd, Los Angeles, California |
| Phone Number | 3103906272 |
| Fax Number | 3103906674 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1295780922 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 12504 W Washington Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90066 |
| Phone Number | 3103906272 |
| Fax Number | 3103906674 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 23409 |
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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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Post Comment/ Review Below
What is the John Pedersen's 1295780922?
The John Pedersen's NPI (National Provider Identifier) Number is 1295780922. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Pedersen?
The John Pedersen is situated at 12504 W Washington Blvd, in the city of Los Angeles, state of CA, with the zip code 90066.
What is John Pedersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Pedersen's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the John Pedersen receive the assignment of its 1295780922 from the Centers for Medicare & Medicaid Services?
The John Pedersen was issued its 1295780922 by the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information regarding John Pedersen most recently updated?
The details pertaining to the John Pedersen, including its address, specialty, and other relevant information, were last refreshed on 2007-08-22.