Lisette Olivia Alonzo, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

689557 Issued in CA

Practice address

2604 S Vermont Ave
Los Angeles, CA 90007-2298

Phone

(323) 731-3333

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1275914863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7969 CLETA ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414793",
            "telephone_number": "562-861-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072298",
            "telephone_number": "323-731-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "LISETTE",
        "middle_name": "OLIVIA",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "689557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Alonzo
• Isaac Alonzo
• Jill Marie Alonzo
• Joanne Beatriz Alonzo
• Kathleen Anne Macapagal Alonzo
• Maria Elaine Alonzo
• Oscar E Alonzo, DDS
• Philip Alonzo, D.P.T.
• Rawan Alosaimi
• Toni Manei Aloyan, MD

• Dental Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.