LILIA CAMACHO RASCON D.D.S. (NPI# 1679087670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679087670 |
| Entity Type | Organization |
| Organization Name | LILIA CAMACHO RASCON D.D.S. |
| Practice Address |
Ave. Marinao Lee Los Algodones BAJA CALIFORNIA 21970 MX |
| Mailing Address |
4275 Executive Square Suite 200 La Jolla CA 92037-9123 |
| Practice Telephone | 6642002469 |
| Mailing Telephone | 6194883200 |
| Mailing Fax Number | 8662726924 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | MRS. LILIA CAMACHO RASCON (DENTIST) |
| Authorized Official Telephone | 6194883200 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
8142083 | ZZ | Dental Providers |
| Street Address |
AVE. MARINAO LEE |
| City | LOS ALGODONES |
| State | BAJA CALIFORNIA |
| Zip Code | 21970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943892 | Hector Beltran | Dentist | Calzada Zaratoga 196, Vicente Guerrero, BAJA CALIFORNIA 21970 | 2020-05-16 |
| 1558999425 | Linzay N Leyva | Dentist | 1era Ave #474 C, Los Algodones, BAJA CALIFORNIA 21970 | 2020-03-27 |
| 1821623935 | Celsa Salmeron | Dentist | Ave A #94, Los Algodones, BAJA CALIFORNIA 21970 | 2020-03-09 |
| 1073146544 | Nilza L Marquez | Dentist | Avenida B Calle 3era, Los Algodones, BC 21970 | 2020-02-12 |
| 1730729054 | Xiomara Covarrubias | Dentist | Ave A Y Calle Primera, 224, Mexicali, VICENTE GUERRERO 21970 | 2020-01-15 |
| 1538710637 | Martha Mendez | Dentist | Plaza Zaratoga L 3, Los Algodones, BAJA CALIFORNIA 21970 | 2019-09-20 |
| 1467006254 | Meyer Optical Enterprises Inc | Eyewear Supplier (Equipment, not the service) | Calle Alamo 283, Los Algodones, BAJA CALIFORNIA 21970 | 2019-07-30 |
| 1477107506 | Eduardo Barreda | Dentist | Calle Primera S/n, Los Algodones, BAJA CALIFORNIA 21970 | 2019-07-26 |
| 1225526049 | Blanca Teran | Dentist | Ave Robles #299, Los Algodones, BAJA CALIFORNIA 21970 | 2018-04-26 |
| 1134626005 | Jesus A Ceballos | Dentist | Ave B #150 Suite H, Los Algodones, BAJA CALIFORNIA 21970 | 2018-04-09 |
| Find all providers in zip 21970 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073024303 | Laura Ivonne Rendon | Dentist | 149 Calle 4, Los Algodones, BAJA CALIFORNIA 21970 | 2017-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119683 | Pastor G Bojorquez | Dentist | 1511 Blvd Sanchez Taboada, Tijuana, BAJA CALIFORNIA 22010 | 2020-09-17 |
| 1760986590 | Gabriel Godinez | Dentist | Blvd Sanchez 9563 - 201, Tijuana, BAJA CALIFORNIA 22010 | 2018-03-19 |
| 1649783796 | Flavio A. Valdez | Dentist | 7th St #7767 Downtown, Ste A, Tijuana, BAJA CALIFORNIA 22000 | 2017-11-13 |
| City | LOS ALGODONES |
| Zip Code | 21970 |
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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.