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CONVALESCENT DENTAL CARE NPI 1982759148


NPI Information

NPI: 1982759148
Provider Name: CONVALESCENT DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6226 HALF W MANCHESTER AVE
LOS ANGELES, CA
ZIP 90045
Phone: (310) 215-9156
Get Directions

CONVALESCENT DENTAL CARE is a general practice dentist in Los Angeles, 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. CONVALESCENT DENTAL CARE NPI is 1982759148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6226 HALF W MANCHESTER AVE
LOS ANGELES, CA
ZIP 90045
Phone: (310) 215-9156

The provider's authorized official is Algis V. Lasas .
The authorized official title is Sole Proprietor and has the following contact phone number (310) 215-9156.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 4/12/2012.


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 Practice20552CALIFORNIAYes

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
1B20552MEDICAIDCALIFORNIA
2B20552-01MEDICAIDCALIFORNIA

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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