Active NPI
Aldwin Philip Lumanlan
- Dentist
- San Pedro, CA
National Provider Identifier
1073705364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53826
- Practice address
- 946 N Western Ave
San Pedro, CA 90732-2427 - Phone
- (310) 831-0735
- NPI assigned
- Aug 10, 2007
- Last updated
- Jan 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53826 | CA | Primary |
Addresses
Primary practice location
946 N Western Ave
San Pedro, CA 90732-2427
Mailing address
2539 W 235TH St Apt D
Torrance, CA 90505-4216
Phone (408) 307-3669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldwin D Lumanlan DMD Inc. | Current | Accepting new patients | |
| Halili Dental Office | Dentist | Past | Accepting new patients |
| Arthur G Kaiser DDS Inc | Dentist | Past | Accepting new patients |
Locations
26640 Western Ave
Ste I
Harbor City, CA 90710
Phone (310) 325-8111
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Harbor City, CA
- NPI 1437922937
-
- Dentist
- San Pedro, CA
- NPI 1992142145
-
- Dentist
- Milpitas, CA
- NPI 1093073249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1073705364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 W 235TH ST APT D",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054216",
"telephone_number": "408-307-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "946 N WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322427",
"telephone_number": "310-831-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMANLAN",
"first_name": "ALDWIN",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.