Parvathi Koka Pokala in San Diego - Pediatric Dentistry
Parvathi Koka Pokala - NPI 1548356686
Parvathi Koka Pokala is a Pediatric Dentistry in San Diego, California. Parvathi Koka Pokala practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Parvathi Koka Pokala is 1548356686. The last update date is 2014-12-05.
Parvathi Koka Pokala's current location address is 8031 Linda Vista Rd Ste 200, San Diego, California. You can contact this provider via phone number 8582788700 and fax number 8582784997. The mailing address for Parvathi Koka Pokala is 8031 Linda Vista Rd Ste 200, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Parvathi Koka Pokala |
|---|---|
| Address | 8031 Linda Vista Rd Ste 200, San Diego, California |
| Phone Number | 8582788700 |
| Fax Number | 8582784997 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548356686 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2014-12-05 |
Provider Mailing Address Detail
| Address | 8031 Linda Vista Rd Ste 200 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921115110 |
| Phone Number | 8582788700 |
| Fax Number | 8582784997 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 40296 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G92041-01 | CA | DENTI CAL IDENTIFICATION |
Post Comment/ Review Below
What is the Parvathi Koka Pokala's 1548356686?
The Parvathi Koka Pokala's NPI (National Provider Identifier) Number is 1548356686. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Parvathi Koka Pokala is geographically located?
The Parvathi Koka Pokala is physically situated at the following location: 8031 Linda Vista Rd Ste 200, San Diego, CA, 921115110.
What is the Parvathi Koka Pokala's specialty and taxonomy code?
The Parvathi Koka Pokala's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When was the Parvathi Koka Pokala's 1548356686 issued?
The Parvathi Koka Pokala's 1548356686 was issued on 2006-10-05.
As of what date were the details pertaining to Parvathi Koka Pokala last refreshed?
The information related to the Parvathi Koka Pokala, including its address, specialty, and other relevant details, was last updated on 2014-12-05.