Rebecca Irene a Pena D M D a Dental

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

REBECCA IRENE A PENA D M D A DENTAL

Practice address

5445 Del Amo Blvd
Suite 103
Lakewood, CA 90712-2760

Phone

(562) 920-1726

Fax

(562) 920-1728

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Irene Alcazaren Pena, D.M.D.

Title

President

Phone

(562) 920-1726

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306190095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DEL AMO BLVD",
            "address_2": "SUITE 103",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122760",
            "telephone_number": "562-920-1726",
            "fax_number": "562-920-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DEL AMO BLVD",
            "address_2": "SUITE 103",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122760",
            "telephone_number": "562-920-1726",
            "fax_number": "562-920-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA IRENE A PENA D M D A DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "REBECCA IRENE",
        "authorized_official_middle_name": "ALCAZAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-920-1726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1457368425",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "49181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanet Rangel
• Rakayla Aaliyah Raphiel
• Milan Gaurang Rawal, M.D.
• Rachael Ray
• Cynthia Vanessa Razon, PT, DPT
• June Fernandez Rebultan
• Debbie Reddic
• Eric Michael Reed, D.D.S.
• Francisco O Refuerzo III
• Maria Carolina De Leon Regalado, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.