Ruben Hurtado DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

59291 Issued in CA

Legal business name

RUBEN HURTADO DDS INC

Practice address

15655 Hawthorne Blvd
Suite a-B
Lawndale, CA 90260-2665

Phone

(424) 297-0513

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Ruben Hurtado

Title

President

Phone

(786) 312-7099

Specialties & licenses 1

Addresses

Other names 1

• EL CAMINO DENTAL Doing business as

Locations

Practitioners 1

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

• Iryna Kykta, DDS

  • General Practice Dentistry
  • Lawndale, CA
  • NPI 1982292710
  NPD (past)

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1902229669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15517 CERISE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494417",
            "telephone_number": "786-312-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 HAWTHORNE BLVD",
            "address_2": "SUITE A-B",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602665",
            "telephone_number": "424-297-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN HURTADO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-312-7099"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL CAMINO DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.