BLUE PEARL DENTISTRY NPI 1225428824

NPI Information

NPI: 1225428824
Provider Name: BLUE PEARL DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1080 S LA CIENEGA BLVD
SUITE 206
LOS ANGELES, CA
ZIP 90035
Phone: (424) 288-4175
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BLUE PEARL DENTISTRY is a dental clinic center in Los Angeles, CA. BLUE PEARL DENTISTRY NPI is 1225428824. The provider is registered as an organization entity type.

The provider's business location address is:

1080 S LA CIENEGA BLVD
SUITE 206
LOS ANGELES, CA
ZIP 90035-591
Phone: (424) 288-4175

The provider's authorized official is Robert S Huang .
The authorized official title is Dds and has the following contact phone number (424) 288-4175.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	56353	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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