Quijano Dental Group, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

64380 Issued in CA

Legal business name

QUIJANO DENTAL GROUP, INC.

Practice address

430 S Central Ave
Glendale, CA 91204-1602

Phone

(213) 270-5309

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Grace Catalan Quijano, DDS

Title

President/Owner

Phone

(213) 270-5309

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1326410135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041602",
            "telephone_number": "213-270-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041602",
            "telephone_number": "213-270-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIJANO DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "QUIJANO",
        "authorized_official_first_name": "LESLIE GRACE",
        "authorized_official_middle_name": "CATALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "213-270-5309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "64380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quartz Hospice Care Inc
• Jennifer Quasem, M.D
• Crystal Quezada
• Paul Murphy De Vera Quiambao, FNP-C
• Julio Alberto Quijada, PMHNP
• Adriana Quintero, PT
• Rodolfo Quintero, M.D.
• Darren Alexander Quinton, OD
• Melissa Quito
• Qyana Griffith, Medical Doctor, Professional Corporation

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.