Rosita D Tan DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40027 Issued in CA

Legal business name

ROSITA D TAN DMD INC.

Practice address

4560 Admiralty Way
Suite 350
Marina del Rey, CA 90292-5423

Phone

(310) 822-8481

Fax

(310) 822-8083

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rosita D Tan, DMD

Title

President

Phone

(310) 822-8481

Specialties & licenses 1

Addresses

Other names 1

• Rosita D. Tan DMD Former legal business name

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1255505533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "310-822-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-822-8481",
            "fax_number": "310-822-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSITA D TAN DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-822-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosita D. Tan DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elizabeth Rojas
• Rojeh Melikian, MD Inc
• Santelia Rose
• Bradley S. Rosen, MD
• Chaana Mauri Rosenthal
• Rosita D. Tan DMD, Inc
• Round the Clock Care LLC
• Maria Ruelas, EDD, LCSW
• Daniel Edward Ruiz, RPH
• Miriam Chipo Rukanzakanza

• General Practice Dentistry in Marina del Rey, CA
• Providers in Marina del Rey, 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 Sep 22, 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.