DR. DAN E RUDIN


Address: 12202 West Washington Blvd, Los Angeles, CA 90066
Phone: 3109159797

DR. DAN E RUDIN (NPI# 1477611093) 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) 1477611093
Entity Type Individual
Full Name DR. DAN E RUDIN
Credential DDS
Practice Address 12202 West Washington Blvd
Los Angeles
CA 90066
Mailing Address Po Box 3716
Redondo Beach
CA 90277-1702
Practice Telephone 3109159797
Practice Fax Number 3109159739
Mailing Telephone 3103746239
Enumeration Date 2006-12-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D20719 CA Dental Providers

Other Providers DAN RUDIN

NPI Name Taxonomy Address Enumeration
1174724504 Dan Rudin Internal Medicine 630 N. Broadway St, Madison, IN 47250-3310 2007-05-31

Office Location

Street Address 12202 WEST WASHINGTON BLVD
City LOS ANGELES
State CA
Zip Code 90066

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1174015622 Nicole Hiorns Occupational Therapist 11605 Washington Place, Los Angeles, CA 90066 2018-05-31
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1669991568 Nexus Recovery Services, LLC Clinic/Center 11515 Washington Blvd, Culver City, CA 90066 2017-09-12
1336669381 Andrea Michelle Bakke Dentist 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1659820686 Pegah Ghassemi Bakhtiari Dds Inc Dentist 12756 West Washington Blvd, Los Angeles, CA 90066 2016-10-03
Find all providers in zip 90066

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
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 city

NPI Name Taxonomy Address Enumeration
1518506773 Francisco Suarez, Dds Inc. Dentist 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 2020-01-04
1346803897 Jason Yoo Dds Inc Dentist 3660 Wilshire Blvd Ste 102, Los Angeles, CA 90010-2716 2019-04-19
1003384579 David Cedeno Md Dds Professional Corporation Dentist 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017-4006 2018-11-02
1043747827 California Oral & Facial Surgery, Inc. Dentist 2610 W Olympic Blvd # 200, Los Angeles, CA 90006-2807 2017-05-11
1699168583 Michael Issakharian Dentist 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948 2015-03-16
1962829143 California Oral & Facial Surgery, Inc. Dentist 2610 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2807 2014-03-25
1447697107 Samuel Liu Dentist 11600 Wilshire Blvd Ste 316, Los Angeles, CA 90025 2013-06-04
1215291059 Steve Lim Dentist 722 S Los Angeles St Apt 415, Los Angeles, CA 90014-4507 2012-06-26
1952663080 William H Noh Dentist 3640 Wilshire Blvd Apt 236, Los Angeles, CA 90010-2644 2012-06-14
1225322019 Kevin Coppelson Dentist 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024 2011-06-08
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90066

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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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