BETHANY ICEL ANTONIO LAURIA (NPI# 1447881875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447881875 |
| Entity Type | Individual |
| Full Name | BETHANY ICEL ANTONIO LAURIA |
| Credential | RDH |
| Practice Address |
13450 S. Hawthorne Blvd Hawthorne CA 90250-5806 |
| Practice Telephone | 3106790106 |
| Practice Fax Number | 3106796698 |
| Mailing Telephone | 3106790106 |
| Mailing Fax Number | 3106796698 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | RDH-31592 | CA | Dental Providers |
| Street Address |
13450 S. HAWTHORNE BLVD |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| 1902262199 | Prudencesa P Renfro | Counselor | 4513 W 115th St Apt 10, Hawthorne, CA 90250 | 2016-01-04 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1457982209 | Phuong Thanh Le | Dental Hygienist | 13450 S. Hawthorne Blvd., Hawthorne, CA 90250-5806 | 2020-01-30 |
| 1497368518 | Amanda Flores | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1891331302 | Nancy Orjiakor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2019-11-19 |
| 1477019289 | Uyen Nguyen Andrade | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2019-02-17 |
| 1538638796 | West Coast Dental | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-11-16 |
| 1699289421 | Trenais Marie Roberts | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2017-12-01 |
| 1194117838 | Mai Tran | Dental Hygienist | 13220 Hawthorne Blvd, Hawthorne, CA 90250-5804 | 2015-03-03 |
| 1760814503 | Luna Katharina Ochoa | Dental Hygienist | 13450 Hawthorne Blvd, Hawthorne, CA 90250-5806 | 2013-08-03 |
| 1255770343 | Sherwin Jerome Taylor | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2013-06-21 |
| Find all providers in HAWTHORNE | ||||
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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.