Hwang and Muditajaya Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

44515 Issued in CA

Legal business name

HWANG AND MUDITAJAYA DENTAL CORPORATION

Doing business as

Whittier Square Dentistry

Practice address

13215 E. Penn Street
Suite 200
Whittier, CA 90602

Phone

(562) 696-2862

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By 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. Winston Muditajaya, D.D.S.

Title

President

Phone

(562) 696-2862

Specialties & licenses 1

Addresses

Other names 1

• Whittier Square Dentistry Doing business as

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.

• Yvette Pineda, DDS

  • Dentist
  • Pico Rivera, CA
  • NPI 1891419867
  NPD (past)
• Daniel V Romo

  • Dentist
  • Whittier, CA
  • NPI 1982795936
  NPD (past)

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1750662755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 E. PENN STREET",
            "address_2": "SUITE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "562-696-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 E. PENN STREET",
            "address_2": "SUITE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "562-696-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWANG AND MUDITAJAYA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "MUDITAJAYA",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-696-2862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittier Square Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Huynh
• Thomas Huynh, PT, DPT
• HV Healthcare Inc. (Vo Pharmacy)
• HV Healthcare Inc. (Vo Pharmacy)
• Linda Hwa, M.D.
• I Zak DDS Prof Dental Corp (Dr. Zak La Mirada Dental Care)
• I4U Staffing Agency
• Jayleen Michelle Ibanez
• Abraham Ibarra, M.S.
• Diana Ibarra, MFT

• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.