MARIDETTE CUNANAN DDS INC (NPI# 1962001347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962001347 |
| Entity Type | Organization |
| Organization Name | MARIDETTE CUNANAN DDS INC |
| Practice Address |
3731 Wilshire Blvd Ste 625 Los Angeles CA 90010-2824 |
| Mailing Address |
5333 Lemon Grove Ave Los Angeles CA 90038-4005 |
| Practice Telephone | 2133813738 |
| Mailing Telephone | 3609901034 |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |
| Authorized Official Name | DR. MARIDETTE CUNANAN (OWNER, DENTIST) |
| Authorized Official Telephone | 3609901034 |
| 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 |
|---|---|
| Green Dental General & Cosmetic | Doing Business As Name - Organization |
| Street Address |
3731 WILSHIRE BLVD STE 625 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619997517 | Peter Shimizu | Dentist | 3731 Wilshire Blvd Ste 625, Los Angeles, CA 90010-2824 | 2006-07-20 |
| 1578161501 | Maridette Cunanan | Dentist | 3731 Wilshire Blvd Ste 625, Los Angeles, CA 90010-2824 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| 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 |
| 1801434196 | City Terrace Dental | Clinic/Center | 2407 N Broadway, Los Angeles, CA 90031-2218 | 2019-12-17 |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on MARIDETTE CUNANAN DDS INC.
| 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.