Lerida Felizardo Lipumano-Picazo in San Mateo - Pediatric Dentistry

Lerida Felizardo Lipumano-Picazo - NPI 1780899260

Lerida Felizardo Lipumano-Picazo is a Pediatric Dentistry in San Mateo, California. Lerida Felizardo Lipumano-Picazo practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lerida Felizardo Lipumano-Picazo is 1780899260. The last update date is 2015-06-05.

Lerida Felizardo Lipumano-Picazo's current location address is 1415 S El Camino Real Ste 2, San Mateo, California. You can contact this provider via phone number 6503430884 and fax number 6503750231. The mailing address for Lerida Felizardo Lipumano-Picazo is 1415 S El Camino Real Ste 2, San Mateo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lerida Felizardo Lipumano-Picazo
Address 1415 S El Camino Real Ste 2, San Mateo, California
Phone Number 6503430884
Fax Number 6503750231
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1780899260
Provider Enumeration Date 2007-05-10
Last Updated Date 2015-06-05

Provider Mailing Address Detail

Address 1415 S El Camino Real Ste 2
City San Mateo
State California (CA)
Post Code 944023019
Phone Number 6503430884
Fax Number 6503750231

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 40848
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Lerida Felizardo Lipumano-Picazo

What is the unique provider identifier assigned to Lerida Felizardo Lipumano-Picazo?

The Lerida Felizardo Lipumano-Picazo has been issued the NPI (National Provider Identifier) 1780899260 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lerida Felizardo Lipumano-Picazo's facilities are situated?

The facilities of Lerida Felizardo Lipumano-Picazo are physically located at the following address: 1415 S El Camino Real Ste 2, San Mateo, CA, 944023019.

What is the area of specialization for Lerida Felizardo Lipumano-Picazo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lerida Felizardo Lipumano-Picazo is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

On what date did Lerida Felizardo Lipumano-Picazo receive its 1780899260 assignment from the Centers for Medicare & Medicaid Services?

The Lerida Felizardo Lipumano-Picazo was assigned its 1780899260 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Lerida Felizardo Lipumano-Picazo's information last updated?

The Lerida Felizardo Lipumano-Picazo's information was last updated on 2015-06-05.

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