Su Aldaba Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SU ALDABA DENTAL CORPORATION

Practice address

19417 7/8 Victory Blvd
Reseda, CA 91335-6611

Phone

(818) 578-3144

Fax

(818) 578-3197

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brittany Su, DDSNPI 1477922078

Title

Owner Dentist

Phone

(818) 578-3144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brittany Loren Su

  • Dentist
  • Orange, CA
  • NPI 1477922078
  NPD Authorized official

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1972183135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19417 7/8 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356611",
            "telephone_number": "818-578-3144",
            "fax_number": "818-578-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19417 7/8 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356611",
            "telephone_number": "818-578-3144",
            "fax_number": "818-578-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU ALDABA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "818-578-3144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "64911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yelena Staseyeva
• Connor Macleod Stephenson
• Steven Yang, D.D.S., Inc.
• Danita G Stewart, PH.D.
• Stonebridge Home Health Inc
• Abner Suarez, COTA/L
• Olaitan Adepeju Subair
• Kevin Darren Suggs
• Svetlana Sukhova
• Vagram Sulukyan, RD

• General Practice Dentistry in Reseda, CA
• Providers in Reseda, 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 Apr 12, 2021; 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.