Jorge de la Osa DDS Incorporated

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JORGE DE LA OSA DDS INCORPORATED

Practice address

11629 Lower Azusa Rd Ste H
El Monte, CA 91732-1389

Phone

(626) 672-0224

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Xochitl Cordoba

Title

Secretary

Phone

(626) 672-0884

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JORGE DE LA OSA DDS INCORPORATED Former legal business name

Locations

Practitioners 1

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

• Juan Gilberto Lozano

  • General Practice Dentistry
  • El Monte, CA
  • NPI 1912589078
  NPD (past)

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1740917574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11629 LOWER AZUSA RD STE H",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321389",
            "telephone_number": "626-672-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11629 LOWER AZUSA RD STE H",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321389",
            "telephone_number": "626-672-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE DE LA OSA DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "CORDOBA",
        "authorized_official_first_name": "XOCHITL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-672-0884"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336186618",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JORGE DE LA OSA DDS INCORPORATED",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Steven Louis Johnson, O.D.
• Ashton Jones
• Jessica Jones
• Larissa Jones
• Tiffany Marie Jones, MFT ATR INTERN
• Bernard Simon Jorge, MD
• Gabrielle L Jorge, RADT I
• Lisa Claire Jorgensen-Mattmann, AMFT
• Joseph Fu-Shou Yang DDS
• Joseph Zaghi D D S Inc

• General Practice Dentistry in El Monte, CA
• Providers in El Monte, 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 Aug 2, 2022; 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.