Di Alpan Professional Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

43750 Issued in CA

Legal business name

DI ALPAN PROFESSIONAL CORPORATION

Practice address

11633 Hawthorne Blvd #500
Hawthorne, CA 90250-9025

Phone

(310) 644-4412

Fax

(310) 644-7355

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Rosa Salazar

Title

Administrator

Phone

(310) 644-4412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1174037873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD STE 500",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502326",
            "telephone_number": "310-644-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD #500",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902509025",
            "telephone_number": "310-644-4412",
            "fax_number": "310-644-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DI ALPAN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-644-4412"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "43750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenah Delvo-Ebilane, FNP
• Mehmet Cuneyt Demirozu, M.D.
• Department Mental Health
• Rafaele Camille Desire Brooks, DDS
• Development Specialty Projects, Inc.
• Diagnostic Sleep Center of California
• Lawrence Diai
• Brooke Diamond, LCSW
• Jose Luis Diaz Jr., PHARMD
• Didi Hirsch Psychiatric Service

• Orthodontics and Dentofacial Orthopedics Dentistry in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.