Lourdes B. Capulong DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

40551 Issued in CA

Legal business name

LOURDES B. CAPULONG DDS INC

Practice address

4409 Eagle Rock Blvd
Los Angeles, CA 90041-3212

Phone

(323) 257-7582

Fax

(323) 257-2612

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lourdes Bueno Capulong, DDSNPI 1275517518

Title

Dentist

Phone

(323) 257-7582

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lourdes Bueno Capulong, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1275517518
  NPD (past) Authorized official

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1629450598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413212",
            "telephone_number": "323-257-7582",
            "fax_number": "323-257-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413212",
            "telephone_number": "323-257-7582",
            "fax_number": "323-257-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES B. CAPULONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "CAPULONG",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "BUENO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-257-7582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "40551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis S Park M D Inc
• Louis T Bascoy, M.D., Inc.
• Anthony Henry Louis
• Carolina Louis, MFT INTERN
• Richard Louis III
• Ken Louria, MFT
• Christina Marie Loust, RN
• Cheri Marie Loustalet, M.S.
• Georgia Louviere
• Krystina Maria Lovan-Peral

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.