Celia Ponce Octoman in Los Angeles - General Practice

Celia Ponce Octoman - NPI 1790963890

Celia Ponce Octoman is a General Practice in Los Angeles, California. Celia Ponce Octoman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Celia Ponce Octoman is 1790963890. The last update date is 2008-01-31.

Celia Ponce Octoman's current location address is 2023 Beverly Blvd., Los Angeles, California. You can contact this provider via phone number 2133539930. The mailing address for Celia Ponce Octoman is 2023 Beverly Blvd., Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Celia Ponce Octoman
Address 2023 Beverly Blvd., Los Angeles, California
Phone Number 2133539930
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1790963890
Provider Enumeration Date 2008-01-31
Last Updated Date 2008-01-31

Provider Mailing Address Detail

Address 2023 Beverly Blvd.
City Los Angeles
State California (CA)
Post Code 90057
Phone Number 2133539930
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 30490
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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FAQs about Celia Ponce Octoman

What is the unique 10-digit identification code issued to Celia Ponce Octoman by the Centers for Medicare & Medicaid Services?

The Celia Ponce Octoman has been assigned the NPI (National Provider Identifier) 1790963890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Celia Ponce Octoman's physical address?

The Celia Ponce Octoman is physically located at 2023 Beverly Blvd., in the city of Los Angeles, CA, with the postal code 90057.

What is the Celia Ponce Octoman's specialty and taxonomy code?

The Celia Ponce Octoman's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Celia Ponce Octoman receive the assignment of its 1790963890 from the Centers for Medicare & Medicaid Services?

The Celia Ponce Octoman was issued its 1790963890 by the Centers for Medicare & Medicaid Services on 2008-01-31.

As of what date were the Celia Ponce Octoman's details last updated?

The information pertaining to the Celia Ponce Octoman, including its address, specialty, and other details, was most recently updated on 2008-01-31.

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