NPIMap

Organization Active NPI

University of Southern California Ostrow School Ofdentistry Mobile CLC

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1235569377
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D53653 Issued in CA
Legal business name
UNIVERSITY OF SOUTHERN CALIFORNIA OSTROW SCHOOL OFDENTISTRY MOBILE CLC
Practice address
925 W 34TH St # 4202
Los Angeles, CA 90089-0058
Phone
(213) 740-7405
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Ms. Charlene Flowers
Title
Director of Clinical Finance
Phone
(213) 740-7405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D53653 CA Primary

Addresses

Primary practice location

925 W 34TH St # 4202
Los Angeles, CA 90089-0058

Mailing address

925 W 34TH St # 4202
Los Angeles, CA 90089-0058
Phone (213) 740-7405

Other identifiers 1

IdentifierTypeStateIssuer
1447579370OtherCADENTICAL

National Provider Directory

National Provider Directory
Tax ID family
Usc Pharmacy32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

925 W 34th St
#4202
Los Angeles, CA 90089
Phone (213) 740-1314

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1235569377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST # 4202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058",
            "telephone_number": "213-740-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST # 4202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058",
            "telephone_number": "213-740-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTHERN CALIFORNIA OSTROW SCHOOL OFDENTISTRY MOBILE CLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL FINANCE",
        "authorized_official_telephone_number": "213-740-7405",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D53653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1447579370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.