MR. MAURICIO FONRODONA (NPI# 1194822197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194822197 |
| Entity Type | Individual |
| Full Name | MR. MAURICIO FONRODONA |
| Credential | D.D.S. |
| Practice Address |
6650 Reseda Blvd Ste 112 Reseda CA 91335-5340 |
| Practice Telephone | 8186097525 |
| Practice Fax Number | 8186097569 |
| Mailing Telephone | 8186097525 |
| Mailing Fax Number | 8186097569 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
49314 | CA | Dental Providers |
| Street Address |
6650 RESEDA BLVD STE 112 |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223997 | Christopher Ayodele Otiko | Podiatrist | 6650 Reseda Blvd, Suite 101a, Reseda, CA 91335-5340 | 2005-11-28 |
| 1891138129 | Coast To Coast Adult Day Health Care | Clinic/Center | 6650 Reseda Blvd, Suite 101-a, Reseda, CA 91335-5340 | 2013-04-17 |
| 1861783334 | Wv Medical Transporation, Inc | Non-emergency Medical Transport (VAN) | 6650 Reseda Blvd, Suite 101-a, Reseda, CA 91335-5340 | 2011-05-02 |
| 1710214093 | Candu Lab Services Inc | Radiology | 6650 Reseda Blvd, 1 04, Reseda, CA 91335-5340 | 2009-11-07 |
| 1821325275 | Endeavour Diagnostics Inc | Internal Medicine | 6650 Reseda Blvd, Ste 104, Reseda, CA 91335-5340 | 2009-11-05 |
| 1801052006 | Haleh Toutounchi | Podiatrist | 6650 Reseda Blvd, # 101a, Reseda, CA 91335-5340 | 2008-08-06 |
| 1528269933 | Andres Jose Torres | Dentist | 6650 Reseda Blvd, Ste 112, Reseda, CA 91335-5340 | 2007-05-31 |
| 1932319043 | Babak Mikhak | Dentist | 6650 Reseda Blvd, Suite # 101b, Reseda, CA 91335-5340 | 2007-05-23 |
| 1407939440 | Hooshang Ashoori | Chiropractor | 6650 Reseda Blvd, Suite 102, Reseda, CA 91335-5340 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| 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 |
|---|---|---|---|---|
| 1245688233 | Myron Joel Bromberg | Dentist | 7012 Reseda Blvd. Suite G, Reseda, CA 91335 | 2016-05-31 |
| 1285814913 | Hwiebeng & Lianien Tjiong Dds | Dentist | 7407 Reseda Blvd, Reseda, CA 91335-2819 | 2007-11-09 |
| 1023216744 | Iraj Borna D.d.s Inc | Dentist | 6915 Reseda Blvd Unit 5, Reseda, CA 91335-4249 | 2007-07-03 |
| 1063621605 | Grisel Del Cueto | Dentist | 18440 Sherman Way, Reseda, CA 91335-4218 | 2007-05-21 |
| 1326255316 | John Foroutan Dds Inc | Dentist | 18308 Sherman Way Ste 1, Reseda, CA 91335-4475 | 2007-05-17 |
| 1427262849 | Linh U Le | Dentist | 19417 Victory Blvd, Reseda, CA 91335 | 2007-05-09 |
| 1770796831 | Tu Thanh Pham | Dentist | 18700 Sherman Way, Suite 116, Reseda, CA 91335-4041 | 2007-05-07 |
| 1487770731 | Vananh Bui | Dentist | 17709 Saticoy St, Reseda, CA 91335-3350 | 2007-03-21 |
| 1417089715 | Armand Kazangian | Dentist | 6857 Reseda Blvd, Suite A and B, Reseda, CA 91335-4228 | 2007-03-12 |
| 1396889804 | Doe Myung Na | Dentist | 7604 Reseda Blvd, Reseda, CA 91335-2822 | 2007-02-16 |
| Find all providers in RESEDA | ||||
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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.