John Louis Vicelja in Redondo Beach - General Practice
John Louis Vicelja - NPI 1083875694
John Louis Vicelja is a General Practice in Redondo Beach, California. John Louis Vicelja practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Louis Vicelja is 1083875694. The last update date is 2008-06-17.
John Louis Vicelja's current location address is 1711 Via El Prado, Redondo Beach, California. You can contact this provider via phone number 3107924833 and fax number 3107924837. The mailing address for John Louis Vicelja is 1711 Via El Prado, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Louis Vicelja |
|---|---|
| Address | 1711 Via El Prado, Redondo Beach, California |
| Phone Number | 3107924833 |
| Fax Number | 3107924837 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083875694 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 1711 Via El Prado |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902775714 |
| Phone Number | 3107924833 |
| Fax Number | 3107924837 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 33396 |
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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 identifier code issued to John Louis Vicelja by the Centers for Medicare & Medicaid Services?
The John Louis Vicelja has been assigned the NPI (National Provider Identifier) 1083875694. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the John Louis Vicelja located?
The John Louis Vicelja is located at 1711 Via El Prado, Redondo Beach, CA 902775714.
What is John Louis Vicelja's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Louis Vicelja's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the John Louis Vicelja receive the assignment of its 1083875694 from the Centers for Medicare & Medicaid Services?
The John Louis Vicelja was issued its 1083875694 by the Centers for Medicare & Medicaid Services on 2008-06-17.
As of what date were the John Louis Vicelja's details last updated?
The information pertaining to the John Louis Vicelja, including its address, specialty, and other details, was most recently updated on 2008-06-17.