Organization Active NPI

Francisco Ilem Jr DMD Inc.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1447653555
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33298 Issued in CA
Legal business name
FRANCISCO ILEM JR DMD INC.
Practice address
1253 Vine St Ste 18
Los Angeles, CA 90038-1662
Phone
(323) 464-0489
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Josefina Ilem
Title
Secretary
Phone
(323) 464-0489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 33298 CA Primary

Addresses

Primary practice location

1253 Vine St Ste 18
Los Angeles, CA 90038-1662

Mailing address

1253 Vine St Ste 18
Los Angeles, CA 90038-1662

Other identifiers 1

IdentifierTypeStateIssuer
1386784999OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

1253 Vine St
Ste 18
Los Angeles, CA 90038
Phone (323) 464-0489

Practitioners & affiliated clinicians

Practitioners 2

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": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1447653555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 VINE ST STE 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 VINE ST STE 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-464-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCO ILEM JR DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "ILEM",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-464-0489"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1386784999",
            "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 Oct 2, 2014; 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.