Fernando De La Pena in Los Angeles - General Practice

Fernando De La Pena - NPI 1174652135

Fernando De La Pena is a General Practice in Los Angeles, California. Fernando De La Pena practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fernando De La Pena is 1174652135. The last update date is 2008-09-09.

Fernando De La Pena's current location address is 3020 Glenmanor Pl, Los Angeles, California. You can contact this provider via phone number 3236608646 and fax number 3236608646. The mailing address for Fernando De La Pena is 3020 Glenmanor Pl, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Fernando De La Pena
Address 3020 Glenmanor Pl, Los Angeles, California
Phone Number 3236608646
Fax Number 3236608646
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1174652135
Provider Enumeration Date 2007-03-05
Last Updated Date 2008-09-09

Provider Mailing Address Detail

Address 3020 Glenmanor Pl
City Los Angeles
State California (CA)
Post Code 900391711
Phone Number 3236608646
Fax Number 3236608646

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 43934
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B43934-01 CA DENTI-CAL PROVIDER NO.

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FAQs about Fernando De La Pena

What is the unique 10-digit identifier code assigned to Fernando De La Pena by the Centers for Medicare & Medicaid Services?

The Fernando De La Pena has been issued the NPI (National Provider Identifier) 1174652135 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Fernando De La Pena is geographically located?

The Fernando De La Pena is physically situated at the following location: 3020 Glenmanor Pl, Los Angeles, CA, 900391711.

What is Fernando De La Pena's area of expertise and its corresponding taxonomy classification?

The Fernando De La Pena's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

When did the Fernando De La Pena receive its 1174652135?

The Fernando De La Pena was issued its 1174652135 on 2007-03-05, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Fernando De La Pena, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fernando De La Pena, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-09.

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