Favela Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42310 Issued in CA

Legal business name

FAVELA DENTAL CORP.

Practice address

26895 Aliso Creek Road, Suite B-712
Aliso Viejo, CA 92656-5301

Phone

(949) 499-1200

Fax

(949) 499-2266

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Vo

Title

Office Manager

Phone

(949) 499-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1992028708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26895 ALISO CREEK RD STE B-712",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565301",
            "telephone_number": "949-499-1200",
            "fax_number": "949-499-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26895 ALISO CREEK ROAD, SUITE B-712",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565301",
            "telephone_number": "949-499-1200",
            "fax_number": "949-499-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVELA DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-499-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquerite C Fairweather, MFC PSYCHOANALYST
• Angela Falletta, RDH
• Kate Fan, DPT
• Patricia Kathleen Farrar, LCSW
• Ted Farzaneh, M.D.
• Karen T Fields
• Nancy Aileen Socorro Figueroa
• Joe Charles Filipi, RN
• Hymie None Fishenfeld, P.T.
• Cristy Lynn Fisher-Lynde

• General Practice Dentistry in Aliso Viejo, CA
• Providers in Aliso Viejo, 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 Mar 8, 2010; 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.