ACEVDO DENTAL GROUP (NPI# 1073012332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073012332 |
| Entity Type | Organization |
| Organization Name | ACEVDO DENTAL GROUP |
| Practice Address |
709 W Beverly Blvd Ste 201 Montebello CA 90640-3600 |
| Practice Telephone | 3237241010 |
| Practice Fax Number | 3237242203 |
| Mailing Telephone | 3237241010 |
| Mailing Fax Number | 3237242203 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Authorized Official Name | LIDYA SORAYA ACEVEDO (OWNER/DDS) |
| Authorized Official Telephone | 3237241010 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
55423 | CA | Dental Providers |
| Street Address |
709 W BEVERLY BLVD STE 201 |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068957 | Janz Gonzalez | Dentist | 709 W Beverly Blvd Ste 201, Montebello, CA 90640-3600 | 2020-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| 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 |
|---|---|---|---|---|
| 1013484237 | Soraya Acevedo Dds, Inc. | Dentist | 709 W. Beverly Blvd., Ste 201, Montebello, CA 90640-3600 | 2018-10-25 |
| 1376892810 | Lauren Tomiko Odono | Dentist | 3523 W Beverly Blvd., Montebello, CA 90640-1540 | 2012-08-30 |
| 1659524726 | Dental Care of Montebello | Dentist | 1332 W Whittier Blvd, Montebello, CA 90640-4601 | 2008-11-03 |
| 1558550137 | Rick T. Kim Dds. Inc. | Dentist | 2332 W Whittier Blvd, Montebello, CA 90640-3039 | 2007-10-18 |
| 1962600635 | Vincent C.cheng Dds Msc Corp. | Dentist | 616 N Montebello Blvd, Montebello, CA 90640-3538 | 2007-07-04 |
| 1619171089 | Ted K. Yu Dds, Inc | Dentist | 600 W Beverly Blvd Ste A, Montebello, CA 90640-3660 | 2007-06-12 |
| 1932315967 | James J Cecchini IIi | Dentist | 415 W Beverly Blvd, Montebello, CA 90640-3667 | 2007-05-15 |
| 1346461977 | Vincent C Cheng | Dentist | 616 North Montebello Blvd., Montebello, CO 90640-3538 | 2007-05-01 |
| 1629296868 | Pham & Cao Dental Corp | Dentist | 249 E Beverly Blvd Ste A, Montebello, CA 90640-3799 | 2007-04-23 |
| 1083735518 | Carlos Miguel Delgado Jr. | Dentist | 1617 Paramount Blvd, Montebello, CA 90640-2133 | 2007-04-03 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
Please comment or provide details below to improve the information on ACEVDO DENTAL GROUP.
| 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.