L J Vigliarolo DDS Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

L J VIGLIAROLO DDS CORP

Practice address

310 N Citrus Ave Ste a
Azusa, CA 91702-3957

Phone

(626) 814-7715

Fax

(626) 507-6315

NPI assigned

Mar 5, 2020

Last updated

Mar 5, 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

Mrs. Alenor Canlas

Title

Manager

Phone

(626) 804-7715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1942835350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N CITRUS AVE STE A",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023957",
            "telephone_number": "626-814-7715",
            "fax_number": "626-507-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N CITRUS AVE STE A",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023957",
            "telephone_number": "626-814-7715",
            "fax_number": "626-507-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L J VIGLIAROLO DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "CANLAS",
        "authorized_official_first_name": "ALENOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-804-7715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran S Trivedi (azusa family dentistry)
• Delina Carmella Korbel, DPT, CSCS
• Jonathon Krohn
• Kuei Shu Liao D.D.S.Inc
• Kevin O Kwan, RN, MSN, AGACNP
• Shayna La Scala
• Marcia La, BA
• Simon Lam
• Trung Phuoc Lam, PHARMD
• Sarah Landowski

• Dental Clinic/Center in Azusa, CA
• Providers in Azusa, 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 Mar 5, 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.