DR. ELEANOR ANTOINETTE SIAZON


Address: 4444 Tweedy Blvd, South Gate, CA 90280-6304
Phone: 3235642444

DR. ELEANOR ANTOINETTE SIAZON (NPI# 1497891261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497891261
Entity Type Individual
Full Name DR. ELEANOR ANTOINETTE SIAZON
Credential DDS
Practice Address 4444 Tweedy Blvd
South Gate
CA 90280-6304
Mailing Address 421 W Alberta St
Anaheim
CA 92805-2611
Practice Telephone 3235642444
Practice Fax Number 3232497565
Mailing Fax Number 3232497565
Enumeration Date 2007-01-29
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
44086 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA D44086 05

Office Location

Street Address 4444 TWEEDY BLVD
City SOUTH GATE
State CA
Zip Code 90280-6304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366549545 Scott Jacks Dds Inc Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2006-09-20
1770101081 Habib Adib Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2020-07-13
1760908230 Western Dental Service, Inc Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2017-08-16
1306173158 Rana Rushdi Kaleel Dentist 4444 Tweedy Blvd, South Gate, CA 90280-7076 2009-11-14
1538391263 Benjamin Phillip Sapir Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2009-08-13
1770617003 Daniel Teboul Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2007-03-16
1871630673 Roy Miyamoto Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2007-01-31
1710024914 Maria H Lima Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2007-01-30
1043356728 Sabina Wiederkehr Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2007-01-29
1194861872 Irina Mihaela Tarnavsky Dentist 4444 Tweedy Blvd, South Gate, CA 90280-6304 2007-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861989758 Downey Family Cosmetic Dentistry Clinic/Center 9212 Lakewood Blvd, Downey, CA 90280 2018-04-17
1720529936 Carewest Non-emergency Services, LLC Non-emergency Medical Transport (VAN) 10423 Atlantic Ave, South Gate, CA 90280 2017-03-20
1669844593 Consumerhealth, Inc. Dentist 9918 Atlantic Aveneue, South Gate, CA 90280 2015-10-30
1366810988 T & T Care Inc Pharmacy 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 2015-09-14
1831579234 Mariana Silva Licensed Psychiatric Technician 8160 Victoria Ave. Apt. A, South Gate, CA 90280 2015-06-02
1417396060 Compatior, Inc. Community/Behavioral Health 4363 Tweedy Blvd, South Gate, CA 90280 2013-06-17
1508158197 Eddy Ang Family Medicine 8627 Atlantic Ave, South Gate, CA 90280 2011-05-13
1750528691 Herbert Perez Dental Assistant 4149 Tweey Blvd #j, South Gate, CA 90280 2009-01-14
1962615773 Harold Edward Potts Chiropractor 10010 California Ave., South Gate, CA 90280 2007-05-08
1821113507 Magdy F Tadros Dentist 3173 Tweedy Blvd, South Gate, CA 90280 2007-03-20
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578189098 Fun Dental 4 Kids 5 Dentist 3738 Tweedy Blvd, South Gate, CA 90280-6046 2020-06-20
1427430016 Farzad Mazloomi Dentist 8330 Long Beach Blvd Ste 107, South Gate, CA 90280-2073 2015-06-19
1194121186 Tweedy Dental Care Dentist 4355 Tweedy Blvd, South Gate, CA 90280-6236 2014-11-18
1326228446 Luis Moran Dds A Dental Corporation Dentist 8720 Garfield Ave Ste 104, South Gate, CA 90280-3720 2007-11-06
1154516680 Larissa Gushansky Dds Dentist 3175 Firestone Blvd Ste 200, South Gate, CA 90280-2951 2007-09-07
1194925636 Omar Jesus Fernandez Dds Inc Dentist 5841 Firestone Blvd, Suit C, South Gate, CA 90280-3716 2007-07-23
1508066028 R Salwan Dds Inc. Dentist 8536 Long Beach Blvd Ste B, South Gate, CA 90280-2017 2007-07-23
1053525022 Chau N Nguyen Dentist 8420 California Ave, South Gate, CA 90280-2414 2007-05-09
1962625418 Farhad Manavi, D.d.s., Inc. Dentist 4149 Tweedy Blvd Ste G, South Gate, CA 90280-6167 2007-04-11
1821113507 Magdy F Tadros Dentist 3173 Tweedy Blvd, South Gate, CA 90280 2007-03-20
Find all providers in SOUTH GATE

Competitor

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City SOUTH GATE
Zip Code 90280

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Dataset Information

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.

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