Liudmyla Kinal
Individual provider Active NPI General Practice Dentistry · Bonsall, CA
NPI 1093332272 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1093332272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 106752 (CA)
- Practice address
- 5256 S. Mission Rd
St. 703-LK
Bonsall, CA 92003 - Phone
- (760) 536-3094
- NPI assigned
- Jul 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106752 | CA | MD | General Practice Dentistry |
Interoperability endpoints
- lkinal788748@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 106752 | CA | Yes |
Addresses
Primary practice location
5256 S. Mission Rd
St. 703-LK
Bonsall, CA 92003
Mailing address
1092 Madison Avenue
Albany, NY 12208
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://webmail.llu.edu/owa/ | Health Information Exchange (HIE) |
Other providers in Bonsall, CA
- Hope Rising Therapy Inc.
- Erica Grace Hou
- Christensen Sicat Hsu
- James F. Brinkman, MD, Inc.
- Yusuf Karatas
- Derek Edward King
- Daniel Lang
- Lotusroot Physical Therapy Inc.
- Walter Patrick Martin
- Jonathan McCabe
All providers in Bonsall, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.