Leo Jireh C Abelita DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40521 Issued in CA

Legal business name

LEO JIREH C ABELITA DMD INC

Practice address

1809 And a Half Lomita Boulevard
Lomita, CA 90717-1905

Phone

(310) 539-1224

Fax

(310) 530-5796

NPI assigned

Apr 18, 2008

Last updated

Apr 18, 2008By 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. Leo Jireh C Abelita, DMDNPI 1215047303

Title

Ceo President

Phone

(310) 539-1224

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leo Jireh Cioco Abelita, DMD

  • Dentist
  • Lomita, CA
  • NPI 1215047303
  Authorized official Same address or phone

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1215101324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 AND A HALF LOMITA BOULEVARD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171905",
            "telephone_number": "310-539-1224",
            "fax_number": "310-530-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 AND A HALF LOMITA BOULEVARD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171905",
            "telephone_number": "310-539-1224",
            "fax_number": "310-530-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO JIREH C ABELITA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "ABELITA",
        "authorized_official_first_name": "LEO JIREH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "310-539-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "G9260602",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lomita, CA
• Providers in Lomita, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.