Edward Lopez America Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29354 Issued in CA

Legal business name

EDWARD LOPEZ AMERICA DENTAL

Practice address

2716 N Broadway Ste 211
Los Angeles, CA 90031-2635

Phone

(323) 221-5931

Fax

(323) 221-6952

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Ninoska Espinoza

Title

Administrator

Phone

(323) 221-5931

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1306040597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 N BROADWAY STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312635",
            "telephone_number": "323-221-5931",
            "fax_number": "323-221-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 N BROADWAY STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312635",
            "telephone_number": "323-221-5931",
            "fax_number": "323-221-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD LOPEZ AMERICA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "NINOSKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-221-5931"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 18, 2014; 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.