Organization Active NPI

Camille Q. Adli Dental Corporation

  • Dental Clinic/Center
  • Long Beach, CA
National Provider Identifier
1164758256
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CAMILLE Q. ADLI DENTAL CORPORATION
Practice address
141 E 9TH St
Long Beach, CA 90813-4312
Phone
(562) 436-6013
Fax
(562) 432-5366
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mrs. Camille Quijano Adli, D.D.SNPI 1942218045
Title
President
Phone
(562) 436-6013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

141 E 9TH St
Long Beach, CA 90813-4312

Mailing address

141 E 9TH St
Long Beach, CA 90813-4312
Phone (562) 436-6013

Other names 1

  • GREATER LONG BEACH DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

141 E 9th St
Long Beach, CA 90813
Phone (562) 436-6013

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1164758256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E 9TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134312",
            "telephone_number": "562-436-6013",
            "fax_number": "562-432-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 9TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134312",
            "telephone_number": "562-436-6013",
            "fax_number": "562-432-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE Q. ADLI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "ADLI",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "QUIJANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-436-6013",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREATER LONG BEACH DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.