Evangeline Uy Shitabata in Torrance - Pediatric Dentistry
Evangeline Uy Shitabata - NPI 1376543835
Evangeline Uy Shitabata is a Pediatric Dentistry in Torrance, California. Evangeline Uy Shitabata practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Evangeline Uy Shitabata is 1376543835. The last update date is 2007-07-08.
Evangeline Uy Shitabata's current location address is 23451 Madison St, Torrance, California. You can contact this provider via phone number 3103755437 and fax number 3103757608. The mailing address for Evangeline Uy Shitabata is 23451 Madison St, Torrance, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evangeline Uy Shitabata |
|---|---|
| Address | 23451 Madison St, Torrance, California |
| Phone Number | 3103755437 |
| Fax Number | 3103757608 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376543835 |
|---|---|
| Provider Enumeration Date | 2005-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23451 Madison St |
|---|---|
| City | Torrance |
| State | California (CA) |
| Post Code | 905054763 |
| Phone Number | 3103755437 |
| Fax Number | 3103757608 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 40037 |
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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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What is the unique identification code assigned to Evangeline Uy Shitabata by the Centers for Medicare & Medicaid Services?
The Evangeline Uy Shitabata has been issued the NPI (National Provider Identifier) 1376543835. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Evangeline Uy Shitabata is located?
The Evangeline Uy Shitabata is situated at the following address: 23451 Madison St, Torrance, CA, 905054763.
What is the Evangeline Uy Shitabata's specialty and taxonomy code?
The Evangeline Uy Shitabata's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376543835 to Evangeline Uy Shitabata?
The Evangeline Uy Shitabata received its 1376543835 assignment from the Centers for Medicare & Medicaid Services on 2005-07-27.
As of what date were the Evangeline Uy Shitabata's details last updated?
The information pertaining to the Evangeline Uy Shitabata, including its address, specialty, and other details, was most recently updated on 2007-07-08.