NPIMap

Organization Active NPI

Miriam Buenaventura Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1265906705
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIRIAM BUENAVENTURA DENTAL CORPORATION
Practice address
5031 Eagle Rock Blvd
Los Angeles, CA 90041-1923
Phone
(323) 256-6428
Fax
(323) 256-8439
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Angelo Linsangan
Title
Operations and Finance Manager
Phone
(323) 256-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5031 Eagle Rock Blvd
Los Angeles, CA 90041-1923

Mailing address

5031 Eagle Rock Blvd
Los Angeles, CA 90041-1923
Phone (323) 256-6428

Other names 1

  • miriam buenaventura dmd dental office Doing business as

National Provider Directory

National Provider Directory

Locations

5031 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (323) 256-6428

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1265906705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411923",
            "telephone_number": "323-256-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411923",
            "telephone_number": "323-256-6428",
            "fax_number": "323-256-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM BUENAVENTURA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "LINSANGAN",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OPERATIONS AND FINANCE MANAGER",
        "authorized_official_telephone_number": "323-256-6428"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "miriam buenaventura dmd dental office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 17, 2019; 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.