San Jose Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAN JOSE DENTAL

Practice address

2161 W 6TH St
Los Angeles, CA 90057-3121

Phone

(562) 904-1807

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sonia Molina, DDS, DMDNPI 1831390293

Title

Owner

Phone

(562) 904-1807

Specialties & licenses 1

Addresses

Other names 1

• San Jose Dental Doing business as

Practitioners 1

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

• Sonia Molina, D.M.D.,M.P.H.

  • Endodontics
  • Downey, CA
  • NPI 1831390293
  NPD Authorized official

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1093421679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573121",
            "telephone_number": "562-904-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573121",
            "telephone_number": "562-904-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-904-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jun 21, 2023; 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.