Luis Moran DDS a Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45150 Issued in CA

Legal business name

LUIS MORAN DDS A DENTAL CORP

Doing business as

San Angel Dental Group

Practice address

7218 Pacific Blvd
Huntington Park, CA 90255-5735

Phone

(323) 582-2888

Fax

(323) 582-6694

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By 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. Luis E Moran, DDS

Title

President

Phone

(323) 582-2888

Specialties & licenses 1

Addresses

Other names 1

• San Angel Dental Group Doing business as

Tax ID family

Luis Moran DDS a Dental Corp2 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.

• Luis Moran DDS a Dental Corporation

  • General Practice Dentistry
  • South Gate, CA
  • NPI 1326228446
  NPD tax ID

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881737419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555735",
            "telephone_number": "323-582-2888",
            "fax_number": "323-582-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555735",
            "telephone_number": "323-582-2888",
            "fax_number": "323-582-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MORAN DDS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-582-2888",
        "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": "45150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Angel Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johana Lozano
• Quyen Lu, PHARM.D.
• Dolores Lucero
• Luis a. Galdamez, MD Inc. (Clinica Medica Virgen de Guadalupe #2)
• Luis a. Galdamez, MD Inc. (Clinica Medica Virgen de Guadalupe)
• Luis Tincopa M D Inc
• Lulu L. Chen, MD Inc (Florence Hooper Family Medical Clinic)
• Andrew Luna, PA-C
• Silvia Sarahi Luna
• Dennise Lupercio

• General Practice Dentistry in Huntington Park, CA
• Providers in Huntington Park, 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 Aug 22, 2020; 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.