Imperial Dental Center Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34335 Issued in CA

Legal business name

IMPERIAL DENTAL CENTER CORP.

Practice address

11254 Crenshaw Blvd
Inglewood, CA 90303-2805

Phone

(323) 756-1463

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Ramos

Title

Office Manager

Phone

(323) 756-1463

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174744544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 CRENSHAW BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032805",
            "telephone_number": "323-756-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11254 CRENSHAW BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032805",
            "telephone_number": "323-756-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL DENTAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-756-1463",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Maduka Ifediba, RN
• Nkiruka Ifediba
• George Ifeorah, LAC
• Satoshi Ikeda, PA
• Im Possible Youth Foundation
• Infocybe Technologies, LLC
• Inglewood Family Medical Clinic Corp
• Inglewood Imaging Center LLC
• Inglewood Operating Company LP
• Inglewood Physical Therapy Inc.

• General Practice Dentistry in Inglewood, CA
• Providers in Inglewood, 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.