JUNE FERNANDEZ REBULTAN (NPI# 1518353242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518353242 |
| Entity Type | Individual |
| Full Name | JUNE FERNANDEZ REBULTAN |
| Practice Address |
20909 Bloomfield Ave Apt 9 Lakewood CA 90715-1836 |
| Practice Telephone | 5623148526 |
| Mailing Telephone | 5623148526 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
20909 BLOOMFIELD AVE APT 9 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90715-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510674 | Katie Perez | Technician, Other | 11907 205 St, Lakewood, CA 90715 | 2016-03-16 |
| 1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
| 1356458020 | Ellen L Chen | Dentist | 20147 S Pioneer Blvd, Lakewood, CA 90715 | 2006-08-25 |
| 1407012958 | Suraiya Motala | Student in an Organized Health Care Education/Training Program | 20215 Village Green Dr, Lakewood, CA 90715-1010 | 2008-08-04 |
| 1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
| 1285766253 | Woosung Ahn, M.d., Inc | Internal Medicine | 20145 Pioneer Blvd, Lakewood, CA 90715-1051 | 2007-03-12 |
| 1396807806 | Woo Sung Ahn | Internal Medicine | 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-14 |
| 1881754489 | Candice Yee Chen | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-12 |
| 1972515195 | Younghae Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 20141 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-08-13 |
| 1114942711 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-07-13 |
| Find all providers in zip 90715 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164649182 | Ricardo Riojas | Dental Assistant | 2020 Wadsworth Blvd Ste 18a, All About Kids Dental Center, Lakewood, CO 80214-5730 | 2007-04-19 |
| 1174740187 | Maria Elena Butler Ballona | Dental Assistant | 2020 Wadsworth Blvd Ste 18a, All About Kids Dental Center, Lakewood, CO 80214-5730 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779499 | Candelaria S Muro | Dental Assistant | 34390 Scotella Rd, Temecula, CA 92592-9352 | 2020-10-29 |
| 1609476647 | Corie Zenobia Rideau | Dental Assistant | 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 | 2020-10-28 |
| 1255930921 | Darlene Marie Piltingsrud | Dental Assistant | 13128 14 Th St, Camp Pendelton, CA 92055-5221 | 2020-10-22 |
| 1770182529 | Virginia Santiago Williams | Dental Assistant | 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1649878968 | Rosalyn Mendoza | Dental Assistant | 18264 Ramona Ave, Fontana, CA 92336-3060 | 2020-10-09 |
| 1700483062 | Alyssa R Mauro | Dental Assistant | 5681 Raintree Way, Oceanside, CA 92057-4813 | 2020-10-08 |
| 1588261119 | Andrea Conners | Dental Assistant | 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 | 2020-10-06 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUNE FERNANDEZ REBULTAN.
| 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.