Claudia E Vides Inc a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

56246 Issued in CA

Legal business name

CLAUDIA E VIDES INC A DENTAL CORPORATION

Practice address

2033 W. 7TH Street
Los Angeles, CA 90057

Phone

(562) 508-8864

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By 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

Violeta Gonzalez

Title

Office Staff

Phone

(562) 508-8864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1639677438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574073",
            "telephone_number": "562-676-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W. 7TH STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "562-508-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA E VIDES INC A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "562-508-8864"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Clause, MSN, FNP, PHN
• Patrice Clausell

• 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 Jan 26, 2018; 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.