Antonio Canales Sustaita in Los Angeles - General Practice
Antonio Canales Sustaita - NPI 1679606289
Antonio Canales Sustaita is a General Practice in Los Angeles, California. Antonio Canales Sustaita practices all healthcare services and medical treatments related to General Practice. The NPI Number for Antonio Canales Sustaita is 1679606289. The last update date is 2007-07-08.
Antonio Canales Sustaita's current location address is 4633 Whittier Blvd, Los Angeles, California. You can contact this provider via phone number 3232644400 and fax number 3232644457. The mailing address for Antonio Canales Sustaita is 4633 Whittier Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Antonio Canales Sustaita |
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Address | 4633 Whittier Blvd, Los Angeles, California |
Phone Number | 3232644400 |
Fax Number | 3232644457 |
Sole Proprietor | N |
Credentials | D.D.S |
NPI Number Detail
NPI Number | 1679606289 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4633 Whittier Blvd |
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City | Los Angeles |
State | California (CA) |
Post Code | 900223007 |
Phone Number | 3232644400 |
Fax Number | 3232644457 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 28495 |
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 identification code assigned to Antonio Canales Sustaita by the Centers for Medicare & Medicaid Services?
The Antonio Canales Sustaita has been issued the NPI (National Provider Identifier) 1679606289. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Antonio Canales Sustaita's facilities are geographically located?
The facilities of Antonio Canales Sustaita are physically situated at the following location: 4633 Whittier Blvd, Los Angeles, CA, 900223007.
What is Antonio Canales Sustaita's specialized field of practice, and what is the corresponding taxonomy classification code?
The Antonio Canales Sustaita's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Antonio Canales Sustaita receive its 1679606289 assignment from the Centers for Medicare & Medicaid Services?
The Antonio Canales Sustaita was assigned its 1679606289 by the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date were the Antonio Canales Sustaita's details last updated?
The information pertaining to the Antonio Canales Sustaita, including its address, specialty, and other details, was most recently updated on 2007-07-08.