James Surdilla Dds in Cerritos - General Practice
James Surdilla Dds - NPI 1366636524
James Surdilla Dds is a General Practice in Cerritos, California. James Surdilla Dds practices all healthcare services and medical treatments related to General Practice. The NPI Number for James Surdilla Dds is 1366636524. The last update date is 2015-10-09.
James Surdilla Dds's current location address is 10929 South St Ste 114b, Cerritos, California. You can contact this provider via phone number 5629242711 and fax number 5629240288. The mailing address for James Surdilla Dds is 10929 South St Ste 114b, Cerritos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James Surdilla Dds |
|---|---|
| Address | 10929 South St Ste 114b, Cerritos, California |
| Phone Number | 5629242711 |
| Fax Number | 5629240288 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Surdilla James |
| Credentials | DDS |
| Telephone Number | 5626338848 |
NPI Number Detail
| NPI Number | 1366636524 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2015-10-09 |
Provider Mailing Address Detail
| Address | 10929 South St Ste 114b |
|---|---|
| City | Cerritos |
| State | California (CA) |
| Post Code | 907035365 |
| Phone Number | 5629242711 |
| Fax Number | 5629240288 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 46529 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D46529 | CA | DENTI-CAL |
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What is the James Surdilla Dds's unique identification number?
The James Surdilla Dds has been assigned the NPI (National Provider Identifier) Number 1366636524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of James Surdilla Dds?
The James Surdilla Dds is physically situated at 10929 South St Ste 114B, in the city of Cerritos, state of CA, with the postal code 907035365.
What is the area of specialization for James Surdilla Dds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James Surdilla Dds is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did the James Surdilla Dds receive its 1366636524?
The James Surdilla Dds was issued its 1366636524 on 2007-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the James Surdilla Dds's details last updated?
The information pertaining to the James Surdilla Dds, including its address, specialty, and other details, was most recently updated on 2015-10-09.