Rosita D. Tan DMD, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40027 Issued in CA

Legal business name

ROSITA D. TAN DMD, INC

Practice address

4560 Admiralty Way
Suite 350
Marina del Rey, CA 90292-5423

Phone

(310) 822-8481

Fax

(310) 822-8083

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rosita D Tan, DMD

Title

Owner

Phone

(310) 822-8481

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1831451004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-822-8481",
            "fax_number": "310-822-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-822-8481",
            "fax_number": "310-822-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSITA D. TAN DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-822-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40027",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rojeh Melikian, MD Inc
• Santelia Rose
• Bradley S. Rosen, MD
• Chaana Mauri Rosenthal
• Rosita D Tan DMD Inc.
• Round the Clock Care LLC
• Maria Ruelas, EDD, LCSW
• Daniel Edward Ruiz, RPH
• Miriam Chipo Rukanzakanza
• Wesley Christopher Ryan, M.D

• Dentist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.