Gloriana C. Villago D. D. S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48054 Issued in CA

Legal business name

GLORIANA C. VILLAGO D. D. S., INC.

Practice address

4863 Eagle Rock Blvd
Los Angeles, CA 90041-2631

Phone

(323) 258-3333

Fax

(323) 258-3334

NPI assigned

Mar 30, 2007

Last updated

Oct 21, 2016By 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

Dr. Gloriana Co Ting Keh Villago, D. D. S.NPI 1073651584

Title

President

Phone

(323) 401-8560

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Gloriana Co Ting Keh Villago, D. D. S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1073651584
  NPD (past) Authorized official
• Christina Hae-Jung Chan, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1073031159
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1710007877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412631",
            "telephone_number": "323-258-3333",
            "fax_number": "323-258-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412631",
            "telephone_number": "323-258-3333",
            "fax_number": "323-258-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIANA C. VILLAGO D. D. S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "VILLAGO",
        "authorized_official_first_name": "GLORIANA",
        "authorized_official_middle_name": "CO TING KEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-401-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Globe Home Health Inc.
• Rachel M Gloer, LCSW
• Matthew Brian Thomas Gloin, D.C.
• Prisca Gloor Maung, PH.D.
• Samantha Joy Lutz Gloria
• Glory Cabanilla Tancinco,M.D. Inc.
• Glory Health Clinic, Inc.
• Glory Home Health, Inc.
• Glory Medical Supplies
• Colette Ann Glosman, MA, LMFT

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.