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CALIFORNIA WAVE DENTAL CENTER NPI 1447779871


NPI Information

NPI: 1447779871
Provider Name: CALIFORNIA WAVE DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
16444 PARAMOUNT BLVD STE 102
PARAMOUNT, CA
ZIP 90723
Phone: (562) 633-6580
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CALIFORNIA WAVE DENTAL CENTER is a general practice dentist in Paramount, 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. CALIFORNIA WAVE DENTAL CENTER NPI is 1447779871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16444 PARAMOUNT BLVD STE 102
PARAMOUNT, CA
ZIP 90723-453
Phone: (562) 633-6580

The provider's authorized official is Young Jun An .
The authorized official title is Dentist and has the following contact phone number (818) 988-9959.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 9/18/2017.


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 Practice43413CALIFORNIAYes

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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