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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D20719 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174724504 | Dan Rudin | Internal Medicine | 630 N. Broadway St, Madison, IN 47250-3310 | 2007-05-31 |
Street Address |
12202 WEST WASHINGTON BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90066 |
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 Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
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 |
City | LOS ANGELES |
Zip Code | 90066 |
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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.