Raul J. Vallejo D. D. S., Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

37376 Issued in CA

Legal business name

RAUL J. VALLEJO D. D. S., INC.

Doing business as

Atlantic Dental Office

Practice address

11301 Atlantic Ave
Lynwood, CA 90262-3007

Phone

(310) 603-1383

Fax

(310) 603-1213

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Raul J Vallejo, DDSNPI 1649474891

Title

Dentist

Phone

(310) 603-1318

Specialties & licenses 1

Addresses

Other names 1

• Atlantic Dental Office Doing business as

Locations

Practitioners 1

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.

• Raul J Vallejo, DDS

  • General Practice Dentistry
  • Lynwood, CA
  • NPI 1649474891
  NPD (past) Authorized official

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1699120683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 ATLANTIC AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623007",
            "telephone_number": "310-603-1383",
            "fax_number": "310-603-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 ATLANTIC AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623007",
            "telephone_number": "310-603-1383",
            "fax_number": "310-603-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL J. VALLEJO D. D. S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-603-1318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "37376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breshawna Delorea Ramsey
• Randy S. Higashi Chiropractic, Inc. (Anaheim Health Care Center)
• Randy S. Higashi, DC a Professional Chiropractic Corporation (Employers First Choice Health Clinic)
• Lashia Ranson
• Sherrion La-Nice Rasco
• Reena Ray Garg, MD
• Raymond M. Tash, DDS, Apc
• Nancy Rayner
• Mackenzie Elizabeth Reay, NP
• Toni Diane Redix, RNP

• Point of Service in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.