JORGE HERNANDEZ ZAMUDIO PC (NPI# 1104973197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104973197 |
| Entity Type | Organization |
| Organization Name | JORGE HERNANDEZ ZAMUDIO PC |
| Other Organization Name | FRIENDLY DENTAL GROUP |
| Practice Address |
28314 Old Town Front St Temecula CA 92590 |
| Practice Telephone | 9516768920 |
| Practice Fax Number | 9516768976 |
| Mailing Telephone | 9516768920 |
| Mailing Fax Number | 9516768976 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JORGE HERNANDEZ ZAMUDIO (OWNER - DENTIST) |
| Authorized Official Telephone | 9518947769 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
45873 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G9301202 | 05 | |
| CA | G9301201 | 05 |
| Other Name | Type Code |
|---|---|
| Friendly Dental Group | Doing Business As Name - Organization |
| Street Address |
28314 OLD TOWN FRONT ST |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760660294 | William S. Hardee Jr. D.m.d., Inc. Friendly Dental Center | Dentist | 28314 Old Town Front St, Temecula, CA 92590-1814 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930451 | Jasmine Healy | Dentist | 40335 Winchester Rd Ste G, Temecula, CA 92591-5518 | 2020-07-23 |
| 1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
| 1225693443 | K Pat Brown Dds Inc. | Dentist | 27450 Ynez Rd Ste 204, Temecula, CA 92591-4681 | 2019-05-02 |
| 1538631429 | Le & Le Dental Corporation | Dentist | 44605 Avenida De Missiones Ste 101, Temecula, CA 92592-5001 | 2018-12-18 |
| 1114405388 | Sruthi Kondakindi | Dentist | 31754 Temecula Pkwy Ste E, Temecula, CA 92592-6805 | 2018-07-31 |
| 1942729405 | Juhi Upendra Mehta | Dentist | 40975 Winchester Rd, Temecula, CA 92591-6031 | 2017-09-15 |
| 1932621703 | Qian Cheng | Dentist | 31843 Rancho California Rd Ste 300, Temecula, CA 92591-5120 | 2017-07-12 |
| 1477074805 | Joshua R Lange | Dentist | 26810 Ynez Ct Ste E, Temecula, CA 92591-4691 | 2017-07-06 |
| 1811357270 | Contreras Dental Corporation | Dentist | 31560 Rancho Pueblo Rd. Suite 200, Temecula, CA 92592 | 2016-02-29 |
| 1902220718 | Kenneth T Nguyen Dds Inc | Dentist | 42210 Lyndie Ln Ste B, Temecula, CA 92591-3603 | 2014-02-13 |
| Find all providers in TEMECULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.