Jorge Hernandez Zamudio PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45873 Issued in CA

Legal business name

JORGE HERNANDEZ ZAMUDIO PC

Doing business as

Friendly Dental Group

Practice address

28314 Old Town Front St
Temecula, CA 92590

Phone

(951) 676-8920

Fax

(951) 676-8976

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Jorge Hernandez Zamudio, DDS

Title

Owner - Dentist

Phone

(951) 894-7769

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Friendly Dental Group Doing business as

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104973197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28314 OLD TOWN FRONT ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-676-8920",
            "fax_number": "951-676-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28314 OLD TOWN FRONT ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-676-8920",
            "fax_number": "951-676-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE HERNANDEZ ZAMUDIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ ZAMUDIO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER - DENTIST",
        "authorized_official_telephone_number": "951-894-7769",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9301201",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9301202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendly Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Jong
• Kathy Kook-Hee Joo, M.D.
• Destani Marche Jordan
• Tia Janell Jordan
• Todzhaj Iyonna Jordan
• Adrian Jorge
• Candida Jorgenson, FNP-C
• Aimee Josafat, PT
• Jose L. Garcia DDS, Ms, Apdc
• Zaria Joseph

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, 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 Aug 22, 2020; 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.