MR. John Louis Vicelja, D.D.S. is a general practice dentist in Redondo Beach, 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. MR. John Louis Vicelja, D.D.S. NPI is 1083875694. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1711 VIA EL PRADO
303
REDONDO BEACH, CA
ZIP 90277-714
Phone: (310) 792-4833
Fax: (310) 792-4837
The NPI 1083875694 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/17/2008 and was last updated on 6/17/2008.