NPIMap

Organization Active NPI

Abjelina Dental Health, Inc.

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1558579656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38954 Issued in CA
Legal business name
ABJELINA DENTAL HEALTH, INC.
Practice address
21615 Berendo Ave
Suite 100
Torrance, CA 90502-1800
Phone
(310) 320-2307
Fax
(310) 320-2948
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Angelli Abracosa Abjelina, D.D.S.NPI 1912027467
Title
Dentist
Phone
(310) 320-2307

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 Dentistry 1223G0001X 38954 CA Primary

Addresses

Primary practice location

21615 Berendo Ave
Suite 100
Torrance, CA 90502-1800

Mailing address

21615 Berendo Avenue
Suite 100
Torrance, CA 90502
Phone (310) 320-2307

Other identifiers 1

IdentifierTypeStateIssuer
B38954-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

21615 Berendo Ave
Ste 100
Torrance, CA 90502
Phone (310) 320-2307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558579656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21615 BERENDO AVENUE",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90502",
            "telephone_number": "310-320-2307",
            "fax_number": "310-320-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21615 BERENDO AVE",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021800",
            "telephone_number": "310-320-2307",
            "fax_number": "310-320-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABJELINA DENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABJELINA",
        "authorized_official_first_name": "ANGELLI",
        "authorized_official_middle_name": "ABRACOSA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-320-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B38954-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, 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.