Venus M Obando Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49962 Issued in CA

Legal business name

VENUS M OBANDO INC.

Practice address

835 N Glendale Ave
Glendale, CA 91206-2128

Phone

(818) 243-3011

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Venus M Obando IV, DDS

Title

Owner

Phone

(818) 243-3011

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Erlinda L Lavares, DDS

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1184845570
  NPD (past)
• Maria Venus Membrere Obando, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1992928642
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1811408958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062128",
            "telephone_number": "818-243-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062128",
            "telephone_number": "818-243-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS M OBANDO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OBANDO",
        "authorized_official_first_name": "VENUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-243-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1992928642",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Jun 16, 2018; 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.