Lisa B Tabora DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42429 Issued in CA

Legal business name

LISA B TABORA DDS INC

Practice address

710 E Colorado St
Suite a
Glendale, CA 91205-1712

Phone

(818) 956-6101

Fax

(818) 956-6156

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Louise B Tabora, DDSNPI 1124284856

Title

President

Phone

(818) 956-6101

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.

• Marie Louise B Tabora, D.D.S.

  • Dentist
  • Glendale, CA
  • NPI 1124284856
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1255548871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E COLORADO ST",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051712",
            "telephone_number": "818-956-6101",
            "fax_number": "818-956-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E COLORADO ST",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051712",
            "telephone_number": "818-956-6101",
            "fax_number": "818-956-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA B TABORA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "TABORA",
        "authorized_official_first_name": "MARIE LOUISE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-956-6101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B42429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Berger Lipow, MSN, CPNP-PC
• Robert Stephen Lipp, PHARM D.
• Elisa Dawn Lipton, LMFT
• Leah Retania Lira, RDA
• Jolly Kirsten Tojino Lirio
• Jane Bowman Lischwe, PH.D
• Paul Litsey, RPH
• Little Steps Therapy
• Courtney Liu Areliz, M.S.
• Arthur Victor Liu, M.D.

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Mar 25, 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.