Maria Lydia Uson Ampil, D.D.S.
Individual provider Active NPI Dentist · Carson, CA
NPI 1548537954 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1548537954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 57154 (CA)
- Practice address
- 539 East Lomita Blvd.
Unit 4
Carson, CA 90745 - Phone
- (310) 507-3550
- Fax
- (310) 830-4797
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57154 | CA | Yes |
Addresses
Primary practice location
539 East Lomita Blvd.
Unit 4
Carson, CA 90745
Mailing address
539 East Lomita Blvd.
Unit 4
Carson, CA 90745
Phone (310) 507-3550
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. 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.