Los Altos Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29555 Issued in CA

Legal business name

LOS ALTOS DENTAL

Practice address

2618 Los Coyotes Diagonal
Long Beach, CA 90815

Phone

(562) 425-1196

NPI assigned

May 3, 2013

Last updated

May 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Bateman-Ganz, DDSNPI 1154463438

Title

Owner

Phone

(562) 425-1196

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Bonnie Leigh Bateman Ganz, DDS

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1154463438
  NPD (past) Authorized official
• Rebekah Coriaty

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1376685826
  NPD (past)
• Gerald W Ganz, DDS

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1174665459
  NPD (past)

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1619312634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 N LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151355",
            "telephone_number": "562-425-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90815",
            "telephone_number": "562-425-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALTOS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "BATEMAN-GANZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-425-1196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Los Angeles Cardiology Associates
• Los Angeles Center for Alcohol and Drug Abuse (L.a. Cada)
• Los Angeles County - Long Beach Mtu
• Los Angeles County Department of Mental Health (Long Beach API Family MHC-FSP)
• Los Angeles County Department of Mental Health (SA8 HOME East Team)

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.