MICHAEL VINCENT LAUREOLA DDS INC (NPI# 1316117104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316117104 |
| Entity Type | Organization |
| Organization Name | MICHAEL VINCENT LAUREOLA DDS INC |
| Other Organization Name | MAGICLAND DENTAL GROUP |
| Practice Address |
21229 Hawthorne Blvd Suite B Torrance CA 90503-5501 |
| Practice Telephone | 3107925200 |
| Practice Fax Number | 3107925201 |
| Mailing Telephone | 3107925200 |
| Mailing Fax Number | 3107925201 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | DR. MICHAEL VINCENT LAUREOLA (PRESIDENT) |
| Authorized Official Telephone | 3107925200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
55121 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| MAGICLAND DENTAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1659903656 | Michael Vincent Laureola Dds Inc | Dentist | 1633 S Alameda St Ste 4134, Compton, CA 90220-4976 | 2020-02-07 |
| 1578108981 | Michael Vincent Laureola Dds Inc | Dentist | 9745 Laurel Canyon Blvd, Arleta, CA 91331-4112 | 2019-11-08 |
| Street Address |
21229 HAWTHORNE BLVD SUITE B |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194869743 | David Sung Kim | Dentist | 21229 Hawthorne Blvd, Suite A, Torrance, CA 90503-5501 | 2007-02-16 |
| 1144729021 | Maria Guadalupe Villarreal | Dental Assistant | 21229 Hawthorne Blvd, Torrance, CA 90503-5501 | 2018-02-07 |
| 1457719825 | Christopher Ferrer | Dentist | 21229 Hawthorne Blvd, Torrance, CA 90503-5501 | 2016-02-01 |
| 1952657611 | Blanca G Inami | Dental Assistant | 21229 Hawthorne Blvd, Torrance, CA 90503-5501 | 2012-07-31 |
| 1457655425 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 21229 Hawthorne Blvd, Suite A, Torrance, CA 90503-5501 | 2011-01-05 |
| 1881922615 | Andrea J Lim | Dentist | 21229 Hawthorne Blvd, Suite A, Torrance, CA 90503-5501 | 2009-12-07 |
| 1962640144 | Ariel Cisneros | Dental Assistant | 21229 Hawthorne Blvd, Torrance, CA 90503-5501 | 2009-01-27 |
| 1417194051 | Nino Herald Chan Gabuya | Dental Assistant | 21229 Hawthorne Blvd, Torrance, CA 90503-5501 | 2009-01-20 |
| 1154545408 | Bita Kerendian Dds Inc | Dentist | 21229 Hawthorne Blvd, Suite B, Torrance, CA 90503-5501 | 2007-04-11 |
| 1851515118 | Pooja Aswani Dds Inc | Dentist | 21229 Hawthorne Blvd, Suite A, Torrance, CA 90503-5501 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480199 | Sena Hiradate, Dds, A Professional Corporation | Dentist | 22330 Hawthorne Blvd Ste 312, Torrance, CA 90505-2541 | 2019-11-05 |
| 1427515477 | Socal Pediatric Dental Group | Dentist | 3661 Torrance Blvd Ste 105, Torrance, CA 90503-4881 | 2019-02-26 |
| 1528522760 | Carolynn Vuong | Dentist | 19707 Linda Dr, Torrance, CA 90503-1107 | 2019-01-22 |
| 1033576632 | Richard A Spaulding, Dds, Dental Corporation | Dentist | 3565 Torrance Blvd Ste B, Torrance, CA 90503-4847 | 2016-01-27 |
| 1407246481 | Frank Enriquez | Dentist | 23727 Hawthorne Blvd Ste 4b, Torrance, CA 90505-5939 | 2015-01-29 |
| 1417286303 | Badii Lee Dental Corporation, Inc | Dentist | 22330 Hawthorne Blvd., Suite 2016, Torrance, CA 90505 | 2009-12-23 |
| 1811011455 | Nicholas J. Brajevich, D.d.s. Incorporated | Dentist | 23727 Hawthorne Blvd, Suite 4b, Torrance, CA 90505-5938 | 2007-03-19 |
| 1275622235 | Christos Thanos | Dentist | 1122 Crenshaw Blvd, Torrance, CA 90501-2026 | 2006-10-11 |
| 1720186794 | Wayne T Tofukuji | Dentist | 22330 Hawthorne Blvd, Suite 312, Torrance, CA 90505 | 2006-09-21 |
| 1538140595 | Kenneth Douglas Greenstadt | Dentist | 3565 Torrance Blvd, Torrance, CA 90503-4847 | 2005-11-08 |
| 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.