Guadalupe Lustre Pereira in Carson - General Practice
Guadalupe Lustre Pereira - NPI 1235310442
Guadalupe Lustre Pereira is a General Practice in Carson, California. Guadalupe Lustre Pereira practices all healthcare services and medical treatments related to General Practice. The NPI Number for Guadalupe Lustre Pereira is 1235310442. The last update date is 2018-03-29.
Guadalupe Lustre Pereira's current location address is 155 E Lomita Blvd, Carson, California. You can contact this provider via phone number 3108477777 and fax number 3108350199. The mailing address for Guadalupe Lustre Pereira is 155 E Lomita Blvd, Carson, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guadalupe Lustre Pereira |
|---|---|
| Address | 155 E Lomita Blvd, Carson, California |
| Phone Number | 3108477777 |
| Fax Number | 3108350199 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1235310442 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2018-03-29 |
Provider Mailing Address Detail
| Address | 155 E Lomita Blvd |
|---|---|
| City | Carson |
| State | California (CA) |
| Post Code | 90745 |
| Phone Number | 3108477777 |
| Fax Number | 3108350199 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 41515 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Guadalupe Lustre Pereira by the Centers for Medicare & Medicaid Services?
The Guadalupe Lustre Pereira has been issued the NPI (National Provider Identifier) 1235310442, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Guadalupe Lustre Pereira?
The Guadalupe Lustre Pereira is physically situated at 155 E Lomita Blvd, in the city of Carson, state of CA, with the postal code 90745.
What is Guadalupe Lustre Pereira's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Guadalupe Lustre Pereira is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Guadalupe Lustre Pereira receive its 1235310442 assignment from the Centers for Medicare & Medicaid Services?
The Guadalupe Lustre Pereira was assigned its 1235310442 by the Centers for Medicare & Medicaid Services on 2007-11-15.
As of what date were the Guadalupe Lustre Pereira's details last updated?
The information pertaining to the Guadalupe Lustre Pereira, including its address, specialty, and other details, was most recently updated on 2018-03-29.