CITY TERRACE DENTAL (NPI# 1801434196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801434196 |
| Entity Type | Organization |
| Organization Name | CITY TERRACE DENTAL |
| Practice Address |
2407 N Broadway Los Angeles CA 90031-2218 |
| Practice Telephone | 3232213165 |
| Mailing Telephone | 3232213165 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | DR. AQUILEO MARTINEZ (OWNER) |
| Authorized Official Telephone | 3235281433 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| City Terrace Dental | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3604 E 1st St, Los Angeles, CA 900632326 | 3232607173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800576 | City Terrace Dental | Clinic/Center | 3604 E 1st St, Los Angeles, CA 90063-2326 | 2020-01-07 |
| Street Address |
2407 N BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417584186 | Nam Dental Corporation | Clinic/Center | 3663 W 6th St Ste 300, Los Angeles, CA 90020-3050 | 2020-03-24 |
| 1487294948 | Ebi Nikjoo Dds Inc | Clinic/Center | 10921 Wilshire Blvd Ste 601, Los Angeles, CA 90024-4003 | 2020-01-13 |
| 1548800576 | City Terrace Dental | Clinic/Center | 3604 E 1st St, Los Angeles, CA 90063-2326 | 2020-01-07 |
| 1437793445 | Baag, Lee & Chung Dental Corp. | Clinic/Center | 3224 W Olympic Blvd # 201, Los Angeles, CA 90006-2317 | 2019-11-01 |
| 1992348866 | Coleman Dental Associates Ca, A Dental Corporation | Clinic/Center | 221 Westwood Plaza Suite 211, Los Angeles, CA 90095-0001 | 2019-10-23 |
| 1427690825 | Pedram Sooferi Dds, Inc | Clinic/Center | 8930 S Sepulveda Blvd Ste 118, Los Angeles, CA 90045-3606 | 2019-10-17 |
| 1841846433 | P.sionat Dental Corp. | Clinic/Center | 1800 W 6th St Ste 2, Los Angeles, CA 90057-3139 | 2019-08-10 |
| 1326691320 | Linda B. Chen, Dds | Clinic/Center | 10814 Jefferson Blvd Ste G, Los Angeles, CA 90230-4988 | 2019-07-18 |
| 1912487372 | Donna Lieu Dds Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 1109, Los Angeles, CA 90048-5812 | 2018-08-15 |
| 1518447028 | Shahrooz Saidian Dds Inc | Clinic/Center | 10231 Santa Monica Blvd Ste D, Los Angeles, CA 90067 | 2018-08-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
Please comment or provide details below to improve the information on CITY TERRACE DENTAL.
| 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.