NPIMap

Organization Active NPI

Marissa Lagusay-Templo D.D.S. Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1376698993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41446 Issued in CA
Legal business name
MARISSA LAGUSAY-TEMPLO D.D.S. INC.
Practice address
3940 1-2 Beverly Blvd
Los Angeles, CA 90004-3434
Phone
(213) 384-5902
NPI assigned
Jan 24, 2007
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
Dr. Marissa Lagusay-Templo, D.D.S.NPI 1235252867
Title
Owner
Phone
(213) 384-5902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41446 CA Primary

Addresses

Primary practice location

3940 1-2 Beverly Blvd
Los Angeles, CA 90004-3434

Mailing address

3940 1-2 Beverly Blvd.
Los Angeles, CA 90004-3434
Phone (213) 384-5902

National Provider Directory

National Provider Directory

Locations

3940 Beverly Blvd
Los Angeles, CA 90004
Phone (213) 384-5902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376698993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 1-2 BEVERLY BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043434",
            "telephone_number": "213-384-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 1-2 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043434",
            "telephone_number": "213-384-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA LAGUSAY-TEMPLO D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGUSAY-TEMPLO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-384-5902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41446",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.