MR. LUIS MIGUEL COLLAZOS (NPI# 1407130040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407130040 |
| Entity Type | Individual |
| Full Name | MR. LUIS MIGUEL COLLAZOS |
| Credential | D.D.S. |
| Practice Address |
15565 Tupper St North Hills CA 91343-3246 |
| Practice Telephone | 8186051584 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60923 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033528047 | Luis C Collazos | Dentist | 8601 Nw 58th St, Doral, FL 33166-3311 | 2014-08-05 |
| Street Address |
15565 TUPPER ST |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| 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 |
|---|---|---|---|---|
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1952627531 | Debbie Pei Chen | Dentist | 16111 Plummber St Bldg 10, North Hills, CA 91343 | 2010-04-08 |
| 1861625055 | Varo Boyer | Dentist | 15603 Parthenia St Apt 105, North Hills, CA 91343-4992 | 2009-09-03 |
| 1205085875 | Shiva Kashanian | Dentist | 15350 Nordhoff Street, Suite A, North Hills, CA 91343 | 2008-09-18 |
| 1578749438 | Ashkan Tehranzadeh | Dentist | 15350 Nordhoff Street Ste A, North Hills, CA 91343 | 2008-01-10 |
| 1750573366 | Reza Malekzadeh | Dentist | 15350 Nordhoff St, Suite A&b, North Hills, CA 91343-2234 | 2007-08-16 |
| 1043435415 | Soleyman Coehn-sedgh,d.d.s., Inc. | Dentist | 15350 Nordoff St, Suite A and B, North Hills, CA 91343 | 2007-04-13 |
| 1023164530 | Dr Amir and Dr Niss Dental Partnership | Dentist | 9050 Sepulveda Blvd, North Hills, CA 91343-4308 | 2007-01-26 |
| 1447319876 | Arto H Ersan | Dentist | 8719 Woodley Ave, North Hills, CA 91343-4729 | 2006-12-08 |
| 1508957309 | Vivien Matibag Maghiran | Dentist | 9506 Sepulveda Blvd, North Hills, CA 91343-3306 | 2006-09-27 |
| Find all providers in NORTH HILLS | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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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.