Angelli Abracosa Abjelina, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

38954 Issued in CA

Practice address

21615 Berendo Ave
Suite#100
Torrance, CA 90502-1800

Phone

(310) 320-2307

Fax

(310) 320-2948

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abjelina Dental Health, Inc.

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1558579656
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912027467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21615 BERENDO AVE",
            "address_2": "SUITE#100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021800",
            "telephone_number": "310-320-2307",
            "fax_number": "310-320-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21615 BERENDO AVE",
            "address_2": "SUITE#100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021800",
            "telephone_number": "310-320-2307",
            "fax_number": "310-320-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABJELINA",
        "first_name": "ANGELLI",
        "middle_name": "ABRACOSA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrhet Abera
• Dylan Wayne Abernathy, M.M., MT-BC
• Anshu Ria Abhat
• Abjelina Dental Health, Inc.
• Abjelina Mental Health Inc
• Kenneth T Abjelina, MD
• Alma Abonce Vargas
• Hoda Abou-Ziab, PSYD
• Reham Aboughali
• Armen Aboulian, MD

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.