Active NPI
Jeffrey Kawilarang DDS Inc
- Dental Clinic/Center
- Huntington Park, CA
National Provider Identifier
1609324623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 59562
- Legal business name
- JEFFREY KAWILARANG DDS INC
- Practice address
- 2553 E Slauson Ave
Huntington Park, CA 90255-2897 - Phone
- (323) 582-8008
- Fax
- (323) 582-4994
- NPI assigned
- Sep 19, 2016
- Last updated
- Sep 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Kawilarang, D.D.S.
- Title
- Owner
- Phone
- (909) 576-6556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 59562 | CA | Primary |
Addresses
Primary practice location
2553 E Slauson Ave
Huntington Park, CA 90255-2897
Mailing address
2553 E Slauson Ave
Huntington Park, CA 90255-2897
Phone (323) 582-8008
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Endodontics
- Huntington Park, CA
- NPI 1780994475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474243200000",
"number": "1609324623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2553 E SLAUSON AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552897",
"telephone_number": "323-582-8008",
"fax_number": "323-582-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2553 E SLAUSON AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552897",
"telephone_number": "323-582-8008",
"fax_number": "323-582-4994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY KAWILARANG DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A",
"authorized_official_last_name": "KAWILARANG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-576-6556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "59562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.