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ORTHOODNTICS ONLY NPI 1659414142


NPI Information

NPI: 1659414142
Provider Name: ORTHOODNTICS ONLY
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
11633 HAWTHORNE BLVD
SUITE #500
HAWTHORNE, CA
ZIP 90250
Phone: (310) 644-4412
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ORTHOODNTICS ONLY is a preferred provider organization in Hawthorne, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ORTHOODNTICS ONLY NPI is 1659414142. The provider is registered as an organization entity type.

The provider's business location address is:

11633 HAWTHORNE BLVD
SUITE #500
HAWTHORNE, CA
ZIP 90250-321
Phone: (310) 644-4412
Fax: (310) 644-7355

The provider's authorized official is Farel A. Rosenberg .
The authorized official title is Doctor and has the following contact phone number (310) 644-4412.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.


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
1305R00000XPreferred Provider Organization17997CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102231OTHERCALIFORNIADHS INSURANCE
2G90737-01OTHERCALIFORNIADENTICAL
3B102OTHERCALIFORNIAGOLDENWEST
4105969OTHERCALIFORNIACIGNA
5259102OTHERCALIFORNIADELTACARE PMI
67072OTHERCALIFORNIAPACIFIC UNION
7189379OTHERCALIFORNIACIGNA
8549733OTHERCALIFORNIAUNITED CONCORDIA
998118OTHERCALIFORNIAAETNA DMO

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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