ANGELITA Y. LUCIANO D.M.D. INC. NPI 1891972063

NPI Information

NPI: 1891972063
Provider Name: ANGELITA Y. LUCIANO D.M.D., INC.

Doing Business As: NONE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1695 ALUM ROCK AVE
SUITE #1
SAN JOSE, CA
ZIP 95116
Phone: (408) 258-3584
Get Directions

ANGELITA Y. LUCIANO D.M.D., INC. is a dental clinic center in San Jose, CA. ANGELITA Y. LUCIANO D.M.D., INC. NPI is 1891972063. The provider is registered as an organization entity type.
The provider Is Doing Business As None.

The provider's business location address is:

1695 ALUM ROCK AVE
SUITE #1
SAN JOSE, CA
ZIP 95116-445
Phone: (408) 258-3584
Fax: (408) 258-3586

The provider's authorized official is Bernardo Lapena Luciano .
The authorized official title is Office Manager and has the following contact phone number (408) 258-3584.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 1/30/2008.

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	41274	CALIFORNIA	Yes

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
1	B41274-01	OTHER	CALIFORNIA	DENTICAL

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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