Organization Active NPI

Mary H. Patuwo DDS, Inc.

Doing business as Soft-Touch Family Dental

  • Dentist
  • La Mirada, CA
National Provider Identifier
1659423226
Registry record updated Sep 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARY H. PATUWO DDS, INC.
Doing business as
Soft-Touch Family Dental
Practice address
14796 Beach Blvd
La Mirada, CA 90638
Phone
(714) 562-5402
Fax
(714) 562-0248
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2007

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

Authorized official

Name
Lukas Patuwo
Title
Manager
Phone
(714) 562-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14796 Beach Blvd
La Mirada, CA 90638

Mailing address

14796 Beach Blvd
La Mirada, CA 90638
Phone (714) 562-5402

Other names 1

  • Soft-Touch Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

14796 Beach Blvd
La Mirada, CA 90638
Phone (714) 266-0333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191110400000",
    "number": "1659423226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14796 BEACH BLVD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "714-562-5402",
            "fax_number": "714-562-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14796 BEACH BLVD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "714-562-5402",
            "fax_number": "714-562-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY H. PATUWO DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-09-30",
        "status": "A",
        "authorized_official_last_name": "PATUWO",
        "authorized_official_first_name": "LUKAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-562-5402"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soft-Touch Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2007; 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.