L. Todd Cochran, DDS
Individual provider Active NPI General Practice Dentistry · Alta Loma, CA
NPI 1457555476 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457555476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 28850 (CA)
- Practice address
- 7283 Carnelian St
Alta Loma, CA 91701-5526 - Phone
- (909) 987-6268
- Fax
- (909) 477-4509
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28850 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ha Jung Kim Dental Corp | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28850 | CA | Yes |
Addresses
Primary practice location
7283 Carnelian St
Alta Loma, CA 91701-5526
Mailing address
7283 Carnelian St
Alta Loma, CA 91701-5526
Phone (909) 987-6268
Other providers in Alta Loma, CA
- CDR Rancho Cucamonga TRS LLC
- Bob Chen
- Ivy Ya Wen Cheng
- Daniel E Clayton
- Joanne Sue Claytor
- Natalie Corinne Cochran
- Dominique Connor
- Daniel Quesada David
- Michelle David
- Davis Chiropractic PC
All providers in Alta Loma, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.