Organization Active NPI

Maria Luisa Co DDS Professional Corporation

Doing business as Live Oak Dental

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1780842310
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49500 Issued in CA
Legal business name
MARIA LUISA CO DDS PROFESSIONAL CORPORATION
Doing business as
Live Oak Dental
Practice address
288 E Live Oak Ave Unit C
Arcadia, CA 91006-5629
Phone
(626) 898-0008
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Maria Luisa Almazan Co, DDSNPI 1386712743
Title
Ceo
Phone
(626) 898-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49500 CA Primary

Addresses

Primary practice location

288 E Live Oak Ave Unit C
Arcadia, CA 91006-5629

Mailing address

288 E. Live Oak Avenue Unit C
Arcadia, CA 91006-5629
Phone (626) 288-0008

Other names 1

  • Live Oak Dental Doing business as

National Provider Directory

National Provider Directory

Locations

288 E Live Oak Ave
Ste C
Arcadia, CA 91006
Phone (626) 898-0008

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1780842310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 E. LIVE OAK AVENUE UNIT C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065629",
            "telephone_number": "626-288-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 E LIVE OAK AVE UNIT C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065629",
            "telephone_number": "626-898-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LUISA CO DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "MARIA LUISA",
        "authorized_official_middle_name": "ALMAZAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-898-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.