Organization Active NPI

Edmundo I. Perfecto Jr DDS Inc

Doing business as Lawdale Dental

  • General Practice Dentistry
  • Lawndale, CA
National Provider Identifier
1326102369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37893 Issued in CA
Legal business name
EDMUNDO I. PERFECTO JR DDS INC
Doing business as
Lawdale Dental
Practice address
16128 Hawthorne Blvd
Lawndale, CA 90260-2931
Phone
(310) 370-4511
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edmundo PerfectoNPI 1255409488
Title
Owner
Phone
(310) 370-4511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37893 CA Primary

Addresses

Primary practice location

16128 Hawthorne Blvd
Lawndale, CA 90260-2931

Mailing address

16128 Hawthorne Blvd
Lawndale, CA 90260-2931
Phone (310) 370-4511

Other names 1

  • Lawdale Dental Doing business as

National Provider Directory

National Provider Directory

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326102369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16128 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602931",
            "telephone_number": "310-370-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16128 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602931",
            "telephone_number": "310-370-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUNDO I. PERFECTO JR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERFECTO",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-370-4511"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawdale Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.