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SILVIA CARDONA DDS MS INC NPI 1073974275


NPI Information

NPI: 1073974275
Provider Name: SILVIA CARDONA DDS MS INC

Doing Business As: EL SEGUNDO BEAUTIFUL SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 05D2264119

Address:
390 N SEPULVEDA BLVD
EL SEGUNDO, CA
ZIP 90245
Phone: (310) 322-1814
Get Directions

SILVIA CARDONA DDS MS INC is a general practice dentist in El Segundo, CA. The provider is 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. SILVIA CARDONA DDS MS INC NPI is 1073974275. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As El Segundo Beautiful Smiles.

The provider's business location address is:

390 N SEPULVEDA BLVD
EL SEGUNDO, CA
ZIP 90245-475
Phone: (310) 322-1814

The provider's authorized official is Silvia Cardona .
The authorized official title is President and has the following contact phone number (310) 322-1814.

The CLIA number assigned to this NPI record is 05D2264119 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2016 and was last updated on 3/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice62446CALIFORNIANo
21223G0001XDentistGeneral Practice62440CALIFORNIANo
31223G0001XDentistGeneral Practice63918CALIFORNIANo
41223G0001XDentistGeneral Practice36897CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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