David Cedeno MD DDS Professional Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DAVID CEDENO MD DDS PROFESSIONAL CORPORATION

Practice address

1127 Wilshire Blvd Ste 1510
Los Angeles, CA 90017-4006

Phone

(213) 977-0943

Fax

(213) 977-0139

NPI assigned

Nov 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Diann Boonnaragorn

Title

Office Manager

Phone

(213) 270-3235

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Cedeno, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1396853412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1003384579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174006",
            "telephone_number": "213-977-0943",
            "fax_number": "213-977-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174006",
            "telephone_number": "213-977-0943",
            "fax_number": "213-977-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CEDENO MD DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "BOONNARAGORN",
        "authorized_official_first_name": "DIANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-270-3235",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Friedberg, M.D., Inc
• David Geffen School of Medicine at UCLA

• Oral and Maxillofacial Surgery (Dentist) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.