ABARO DDS CORP NPI 1194487330

NPI Information

NPI: 1194487330
Provider Name: ABARO DDS CORP
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4346 SOUTH ST
LAKEWOOD, CA
ZIP 90712
Phone: (562) 408-3500
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ABARO DDS CORP is a dental clinic center in Lakewood, CA. ABARO DDS CORP NPI is 1194487330. The provider is registered as an organization entity type.

The provider's business location address is:

4346 SOUTH ST
LAKEWOOD, CA
ZIP 90712-152
Phone: (562) 408-3500
Fax: (562) 408-3736

The provider's authorized official is Faviola Silva .
The authorized official title is Regional Billing Manager and has the following contact phone number (323) 835-6839.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1306984596	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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