Gloriana Co Ting Keh Villago, D. D. S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48054 Issued in CA

Practice address

4863 Eagle Rock Blvd
Los Angeles, CA 90041-2631

Phone

(323) 258-3333

Fax

(323) 258-3334

NPI assigned

Feb 5, 2007

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gloriana C. Villago D. D. S., Inc.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1710007877
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1073651584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412631",
            "telephone_number": "323-258-3333",
            "fax_number": "323-258-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412631",
            "telephone_number": "323-258-3333",
            "fax_number": "323-258-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAGO",
        "first_name": "GLORIANA",
        "middle_name": "CO TING KEH",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Health Foundation, Inc.
• Village Hope Acupuncture & Herbs, Inc.
• Village Medical Group
• Village Pharmacy
• Village Therapy Licensed Clinical Social Worker, PC
• Gabriela Villagomes, M.A.
• Angel Villagomez
• Esmeralda Villagomez
• Jose L Villagomez, MD
• Virginia Villagomez, LCSW

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 17, 2016; 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.