NPIMap

Organization Active NPI

Lilia Martinez D.D.S. Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1366658403
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41113 Issued in CA
Legal business name
LILIA MARTINEZ D.D.S. INC.
Practice address
176 S Alvarado St
204
Los Angeles, CA 90057-2218
Phone
(213) 484-1500
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Lili Martinez
Title
President
Phone
(213) 484-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41113 CA Primary

Addresses

Primary practice location

176 S Alvarado St
204
Los Angeles, CA 90057-2218

Mailing address

176 S Alvarado St
204
Los Angeles, CA 90057-2218
Phone (213) 484-1500

Other identifiers 1

IdentifierTypeStateIssuer
G93857-01MedicaidCA

National Provider Directory

National Provider Directory

Locations

176 S Alvarado St
#204
Los Angeles, CA 90057
Phone (213) 484-1500

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1366658403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S ALVARADO ST",
            "address_2": "204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572218",
            "telephone_number": "213-484-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S ALVARADO ST",
            "address_2": "204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572218",
            "telephone_number": "213-484-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIA MARTINEZ D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-484-1500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93857-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.