Gertrude M. Pecaoco Dental Corp.

Primary specialty

DentistTaxonomy code 122300000X

License

49425 Issued in CA

Legal business name

GERTRUDE M. PECAOCO DENTAL CORP.

Practice address

1925 W Temple St
Suite 214
Los Angeles, CA 90026-4970

Phone

(213) 413-3910

Fax

(213) 413-4078

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Espanola Pecaoco

Title

Office Manager

Phone

(213) 413-3910

Specialties & licenses 1

Addresses

Other names 1

• Gertrudes Manganaan Velena Dental Corp Former legal business name

Locations

Practitioners 1

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

• Gertrude M Pecaoco

  • Dentist
  • Los Angeles, CA
  • NPI 1447349808
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1447441597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W TEMPLE ST",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264970",
            "telephone_number": "213-413-3910",
            "fax_number": "213-413-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W TEMPLE ST",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264970",
            "telephone_number": "213-413-3910",
            "fax_number": "213-413-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERTRUDE M. PECAOCO DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "PECAOCO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ESPANOLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-413-3910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gertrudes Manganaan Velena Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gertrudes Manganaan Velena Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shoshana Gerson, MD
• Sharon Ella Gerstenberger
• Yehuda Simcha Gertel, PSY.D
• Alison Gertler, DPT
• Socorro Gertmenian, PHD, MLS
• Jean-Claude Gertrude
• Michael Allen Gertz, M.D.
• Brandon Gescheidle
• Daniel Hal Geschwind, MD
• Devin Geser, LA.C.

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.