Dr. J. de la Osa Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. J. DE LA OSA DENTAL CORPORATION

Practice address

3625 Martin Luther King Jr Blvd Ste 9
Lynwood, CA 90262-3509

Phone

(310) 554-4068

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Jorge C. De la Osa, DDS

Title

Owner

Phone

(310) 554-4068

Specialties & licenses 1

Addresses

Other names 1

• Bonita Dental Center Doing business as

Tax ID family

Bonita Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Office de la Osa DDS Inc

  • Dentist
  • Upkand, CA
  • NPI 1407646912
  NPD tax ID

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1750191581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD STE 9",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-554-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD STE 9",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-554-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. J. DE LA OSA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "DE LA OSA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-554-4068",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Donato-Hernandez, RN
• Kosar Doraghi, MD
• Shannon Giovanna Doss, LCSW
• Deirdre Douglas
• Dr Shana Noble Aguilar OD Inc
• Dr. Malvin Yan Inc.
• Cedrick Rockmond Drisdel
• CJ Cormier Dunnick
• Viet Quoc Duong, MD
• Wilburn Durousseau, M.D.

• General Practice Dentistry in Lynwood, CA
• Providers in Lynwood, 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 Jan 13, 2025; 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.