Rafael Pou DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RAFAEL POU DDS INC

Doing business as

Genesis Dental

Practice address

6040B Atlantic Blvd
Maywood, CA 90270-3119

Phone

(323) 476-7558

Fax

(323) 476-7576

NPI assigned

Jun 22, 2018

Last updated

Jun 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael T Pou, DDS

Title

Dentist

Phone

(949) 514-3500

Specialties & licenses 1

Addresses

Other names 1

• Genesis Dental Doing business as

Locations

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1134614134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040B ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703119",
            "telephone_number": "323-476-7558",
            "fax_number": "323-476-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040B ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703119",
            "telephone_number": "323-476-7558",
            "fax_number": "323-476-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL POU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-514-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loi C Phan
• Grace Piggue
• Alicia Plascencia
• Reynaldo Quinonez, PA19411
• Jocelyn Quintana
• Rapid Med Alliance LLC
• Hari K Reddy, DDS
• Ricardo E Chambi MD (Clinica Medica de la Caridad)
• Stephanie Jasmine Rosas
• Ruben S. Casabar, M.D, Inc.

• Dental Clinic/Center in Maywood, CA
• Providers in Maywood, 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 Jun 22, 2018; 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.