Corazon C Rabonza DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45520 Issued in CA

Legal business name

CORAZON C RABONZA DDS INC

Practice address

14622 Ventura Blvd
Suite 202
Sherman Oaks, CA 91403

Phone

(818) 788-3168

Fax

(818) 788-0610

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Maria Corazon Carlos Rabonza, DDS

Title

President Owner

Phone

(818) 788-3168

Specialties & licenses 1

Addresses

Other names 1

• Healthy Smiles Dental Office Doing business as

Locations

Practitioners 2

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

• Jupin Samadhi Bagherzadeh, DDS

  • Dentist
  • Sherman Oaks, CA
  • NPI 1558254342
  NPD (past)
• Corazon Rabonza, D.D.S.

  • General Practice Dentistry
  • Sherman Oaks, CA
  • NPI 1467897025
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1013194117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD",
            "address_2": "SUITE 202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-788-3168",
            "fax_number": "818-788-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD",
            "address_2": "SUITE 202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-788-3168",
            "fax_number": "818-788-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON C RABONZA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "RABONZA",
        "authorized_official_first_name": "MARIA CORAZON",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "818-788-3168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Annette Cook, L.C.S.W.
• Joshua Cook, PTA
• Stephen Franklin Cooper, M.D.
• Alexandra Ruth Cooperman, LCSW
• Sheila Brosman Cooperr, LMFT
• Dayanna Corbin
• Jose E Corena, PSY.D.
• Susana Jazmin Cornejo Melara
• Jessica Araceli Cornejo Reyes
• Cornerstone Medical Services Inc

• General Practice Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.