NPIMap

Organization Active NPI

Daniel Teboul, DDS, Inc.

Doing business as Lomita Torrance Dental Office

  • Dentist
  • Torrance, CA
National Provider Identifier
1689068108
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49419 Issued in CA
Legal business name
DANIEL TEBOUL, DDS, INC.
Doing business as
Lomita Torrance Dental Office
Practice address
23520 Crenshaw Blvd
Torrance, CA 90505-5203
Phone
(310) 539-7835
Fax
(310) 530-1510
NPI assigned
Mar 23, 2015
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Dr. Daniel Teboul, DDS
Title
Owner
Phone
(310) 539-7835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49419 CA Primary

Addresses

Primary practice location

23520 Crenshaw Blvd
Torrance, CA 90505-5203

Mailing address

23520 Crenshaw Blvd
Torrance, CA 90505-5203
Phone (310) 539-7835

Other names 1

  • Lomita Torrance Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

23520 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 539-7835

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1689068108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23520 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055203",
            "telephone_number": "310-539-7835",
            "fax_number": "310-530-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23520 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055203",
            "telephone_number": "310-539-7835",
            "fax_number": "310-530-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL TEBOUL, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "TEBOUL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-539-7835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lomita Torrance Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.