Provider Type Icon

JUAN ANTONIO TREJO CANCHOLA DENTAL CORP NPI 1689039570


NPI Information

NPI: 1689039570
Provider Name: JUAN ANTONIO TREJO CANCHOLA DENTAL CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
23030 LAKE FOREST DR
SUITE 201
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 305-8242
Get Directions

JUAN ANTONIO TREJO CANCHOLA DENTAL CORP is a general practice dentist in Laguna Hills, 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. JUAN ANTONIO TREJO CANCHOLA DENTAL CORP NPI is 1689039570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23030 LAKE FOREST DR
SUITE 201
LAGUNA HILLS, CA
ZIP 92653-331
Phone: (949) 305-8242
Fax: (949) 305-8238

The provider's authorized official is Juan A Trejo Canchola .
The authorized official title is Owner and has the following contact phone number (951) 842-0803.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 12/21/2015.


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 Practice61049CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.