NPIMap

Organization Active NPI

Diane Boval DDS a Professional Dental Corp

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1275197733
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP
Practice address
4600 Beach Blvd Ste a
Buena Park, CA 90621-1166
Phone
(714) 278-4971
Fax
(714) 522-5758
NPI assigned
Apr 30, 2019
Last updated
Mar 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Alan Boval
Title
Ceo
Phone
(562) 905-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

4600 Beach Blvd Ste a
Buena Park, CA 90621-1166

Mailing address

901 W Whittier Blvd
La Habra, CA 90631-3743
Phone (562) 356-0948

National Provider Directory

National Provider Directory
Tax ID family
Adrian Acosta Ddsa Professional Dental Corporation29 organizations share this tax ID, including this one
Part of
Adrian Acosta Ddsa Professional Dental Corporation

Other organizations with this tax ID 28

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

View all 28

Locations

4600 Beach Blvd
Ste A
Buena Park, CA 90621
Phone (714) 278-4971

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774656000000",
    "number": "1275197733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313743",
            "telephone_number": "562-356-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BEACH BLVD STE A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211166",
            "telephone_number": "714-278-4971",
            "fax_number": "714-522-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP",
        "enumeration_date": "2019-04-30",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A",
        "authorized_official_last_name": "BOVAL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-905-8338"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.