DR. ROBERT K MONDAVI (NPI# 1134386097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134386097 |
Entity Type | Individual |
Full Name | DR. ROBERT K MONDAVI |
Other Name | ROBERT MONDAVI |
Credential | DDS |
Practice Address |
17311 Yukon Ave Torrance CA 90504 |
Practice Telephone | 3103243333 |
Practice Fax Number | 3103243666 |
Mailing Telephone | 3103243333 |
Mailing Fax Number | 3103243666 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2008-05-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 42169 | CA | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
42169 | CA | Dental Providers |
Street Address |
17311 YUKON AVE |
City | TORRANCE |
State | CA |
Zip Code | 90504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386274108 | Clear Inc | Community/Behavioral Health | 18123 Prairie Ave, Torrance, CA 90504 | 2020-01-21 |
1649732645 | Marydel Delgado Del Mar | Occupational Therapist | 16617 Faysmith Avenue, Torrance, CA 90504 | 2019-04-01 |
1356871966 | Muqeet Dadabhoy | Assisted Living Facility | 17035 Atkinson Ave, Torrance, CA 90504 | 2017-06-15 |
1407285562 | Philip Thomas Moricone Iv | Student in an Organized Health Care Education/Training Program | 17504 Kornblum Ave, Torrance, CA 90504 | 2013-11-08 |
1689001430 | Paul S. Hirano, O.d. | Optometrist | 2130 Redondo Beach Blvd. #g, Torrance, CA 90504 | 2013-10-10 |
1295004760 | Naomi Osada | Dentist | 3949 Artesia Blvd., Torrance, CA 90504 | 2011-12-29 |
1386840460 | Envision Home Health Service Inc | Home Health | 17725 Crenshaw Blvd Ste #302, Torrance, CA 90504 | 2007-06-25 |
1225231640 | Soleimani Dental Corp | Dentist | 18506 Hawthorne Blvd, Torrance, CA 90504 | 2007-06-06 |
1497971360 | Shuh Yih Wang | Acupuncturist | 16811 Yukon Ave, F, Torrance, CA 90504 | 2007-04-18 |
1710002498 | Shelly A Fukunaga | Optometrist | 2130 Redondo Beach Blvd., Suite G, Torrance, CA 90504 | 2007-03-20 |
Find all providers in zip 90504 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872997 | Nancy Maged Sidarous | Dentist | 3422 Maricopa St Apt 114, Torrance, CA 90503-7503 | 2020-08-18 |
1538782651 | Catherine N Hwang | Dentist | 4305 Torrance Blvd Ste 201, Torrance, CA 90503-4411 | 2020-05-22 |
1629622014 | Eric Jonathan Grin | Dentist | 3475 Torrance Blvd Ste H, Torrance, CA 90503-5800 | 2019-07-24 |
1689141905 | Judy H. Ma | Dentist | 3655 Lomita Blvd Ste 109, Torrance, CA 90505-1903 | 2018-10-24 |
1477077097 | Rosi Shrestha, D.m.d., Inc. | Dentist | 24231 Crenshaw Blvd Ste E, Torrance, CA 90505-5344 | 2017-07-26 |
1003338708 | Bazos Dental Corporation, A Professional Corporation | Dentist | 23530 Hawthorne Blvd Ste 280, Torrance, CA 90505-4767 | 2017-07-13 |
1548781958 | Shervin Afrashteh | Dentist | 2111 Bridgeport Way, Torrance, CA 90503-8932 | 2017-07-06 |
1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
1366814477 | Cesar Carrasco | Dentist | 21008 Victor St Apt 4, Torrance, CA 90503-2846 | 2015-10-28 |
1134596422 | Jenny Liu | Dentist | 3220 Sepulveda Blvd Ste 206, Torrance, CA 90505-8161 | 2015-08-21 |
Find all providers in TORRANCE |
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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.