REBECCA IRENE A PENA D M D A DENTAL NPI 1306190095

NPI Information

  • NPI: 1306190095
  • Provider Name: REBECCA IRENE A PENA D M D A DENTAL
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 5445 DEL AMO BLVD
    SUITE 103
    LAKEWOOD, CA
    ZIP 90712
  • Phone: (562) 920-1726

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NPI Details

REBECCA IRENE A PENA D M D A DENTAL is an oral and maxillofacial surgery dentist in Lakewood, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. REBECCA IRENE A PENA D M D A DENTAL NPI is 1306190095. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5445 DEL AMO BLVD
SUITE 103
LAKEWOOD, CA
ZIP 90712-760
Phone: (562) 920-1726
Fax: (562) 920-1728

The provider's authorized official is Rebecca Irene Alcazaren Pena .
The authorized official title is President and has the following contact phone number (562) 920-1726.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 3/7/2023.

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
1122300000XDentistNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11457368425OTHERCALIFORNIANPI TYPE 1
249181OTHERCALIFORNIADENTAL LICENSE

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: 3/30/2025

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