Cerritos Family Denal Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CERRITOS FAMILY DENAL CENTER

Practice address

20106 S Blvd Ste a & B
Cerritos, CA 90701

Phone

(562) 474-1221

NPI assigned

Sep 5, 2019

Organization subpart

No

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

Authorized official

Name

Josefa Melendrez

Title

Manager

Phone

(626) 330-6655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1093364770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20106 PIONEER BLVD STE A&B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037400",
            "telephone_number": "562-474-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20106 S BLVD STE A & B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90701",
            "telephone_number": "562-474-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRITOS FAMILY DENAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "MELENDREZ",
        "authorized_official_first_name": "JOSEFA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-330-6655"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.