SAN DIEGO DENTAL HEALTH CENTER LLC


Address: 9350 Campus Point Dr, La Jolla, CA 92037-1300
Phone: 3103076623

SAN DIEGO DENTAL HEALTH CENTER LLC (NPI# 1386289478) 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) 1386289478
Entity Type Organization
Organization Name SAN DIEGO DENTAL HEALTH CENTER LLC
Practice Address 9350 Campus Point Dr
La Jolla
CA 92037-1300
Practice Telephone 3103076623
Enumeration Date 2019-11-12
Last Update Date 2019-11-12
Authorized Official Name KATYA ARCHAMBAULT (OWNER)
Authorized Official Telephone 3103076623
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
Ambulatory Health Care Facilities

Office Location

Street Address 9350 CAMPUS POINT DR
City LA JOLLA
State CA
Zip Code 92037-1300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043295363 Neil J. Farber Internal Medicine 9350 Campus Point Dr, La Jolla, CA 92037-1300 2005-12-09
1740708478 Cassidy Michael Trimm Physical Therapist 9350 Campus Point Dr, La Jolla, CA 92037-1300 2017-09-01
1649727462 Ann Valentine Physical Therapist 9350 Campus Point Dr, Mailcode # 7775, La Jolla, CA 92037-1300 2016-09-09
1205287687 Catherine Burgess Specialist 9350 Campus Point Dr, Ll-d, La Jolla, CA 92037-1300 2016-06-27
1306219472 Kelley Becherer Physical Therapist 9350 Campus Point Dr, La Jolla, CA 92037-1300 2015-11-11
1548636343 Phillip Daniel Cohen-lyons Internal Medicine 9350 Campus Point Dr, Perlman Medical Offices, La Jolla, CA 92037-1300 2015-08-15
1699158022 Jason Hooper Physical Therapist 9350 Campus Point Dr, La Jolla, CA 92037-1300 2015-07-02
1053745059 Kenneth Nicholas Halter II Physician Assistant 9350 Campus Point Dr, La Jolla, CA 92037-1300 2013-08-26
1689917569 Meghan Kathleen Spriggs Audiologist 9350 Campus Point Dr, Ste Ll-a, La Jolla, CA 92037-1300 2013-03-29
1962769075 Michelle Andaya Obispo Physical Therapist 9350 Campus Point Dr, Ll-d, La Jolla, CA 92037-1300 2012-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982221768 Equip Health Medical, PC Clinic/Center 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 2020-06-29
1134745474 Brenda Kay Wiederhold Psychologist Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 2020-06-23
1316581598 Kathleen M Blechertas Physical Therapist 9888 Genesee, Lj19, La Jolla, CA 92037 2019-10-31
1316592876 Kevin Yanyan Li Student in an Organized Health Care Education/Training Program 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 2019-08-01
1407400542 Juan J Salmeron Dentist Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 2019-07-26
1609428598 Nicole Whitney Mark Physician Assistant 8103 Caminito Sonoma, La Jolla, CA 92037 2019-07-11
1700357936 Cecelia Rose Greene/pendzich Mastectomy Fitter 7760 Fay Ave, Suite M., La Jolla, CA 92037 2018-12-16
1740765890 Jeenal Ankit Gordhandas Student in an Organized Health Care Education/Training Program East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 2018-09-25
1306325220 Lisa Beth Perlov Marks Marriage & Family Therapist 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 2018-08-10
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255931408 Joseph A. Geleris Clinic/Center 132 N Vermont Ave, Glendora, CA 91741-5315 2020-10-27
1619524428 Eliza Berris Dds, Inc. Clinic/Center 19851 Yorba Linda Blvd Ste 201-202, Yorba Linda, CA 92886-2864 2019-08-26
1497309306 Acevedo Dental Corp Clinic/Center 1857 E 4th St, Ontario, CA 91764-2601 2019-07-29
1457911992 Salina Mahgerefteh Dds Inc Clinic/Center 853 Warner Ave, Los Angeles, CA 90024-3327 2019-06-17
1588121248 Trinh Thi Bui D.d.s.a Dental Corporation Clinic/Center 18510 Gridley Rd, Artesia, CA 90701 2019-02-28
1073082079 Ucsf Dental Oncology Clinic/Center 513 Parnassus Avenue, Room S741, San Francisco, CA 94143-2205 2018-11-19
1033696406 Daniel E Niemann Dds Dental Corporation Clinic/Center 2050 Huntington Dr Ste B, South Pasadena, CA 91030-4900 2018-07-27
1104318013 Louis Gallia Md Medical Corp Clinic/Center 87 Scripps Dr #112, Sacramento, CA 95825 2018-06-06
1134624638 Diem Cao Dds Inc Clinic/Center 8813 Alondra Blvd, Paramount, CA 90723-4603 2018-03-27
1013305689 Mason Y. Lee, Dds, A Professional Corp Clinic/Center 750 Las Gallinas Ave Ste 207, San Rafael, CA 94903-3432 2015-01-05
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Competitor

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City LA JOLLA
Zip Code 92037

Improve Information

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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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