CONSUELO PALACIOS DDS DENTAL CORPORATION. (NPI# 1679094049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679094049 |
Entity Type | Organization |
Organization Name | CONSUELO PALACIOS DDS DENTAL CORPORATION. |
Practice Address |
20263 Saticoy St Ste F Winnetka CA 91306-2591 |
Practice Telephone | (818) 709-3566 |
Practice Fax Number | 8187090604 |
Mailing Telephone | 8187093566 |
Mailing Fax Number | 8187090604 |
Enumeration Date | 2017-07-06 |
Last Update Date | 2017-07-06 |
Authorized Official Name | CONSUELO MARIA PALACIOS. (DENTIST.) |
Authorized Official Telephone | 8187093566 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
64805 | CA | Ambulatory Health Care Facilities |
Street Address |
20263 SATICOY ST STE F |
City | WINNETKA |
State | CA |
Zip Code | 91306-2591 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
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Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750795969 | Oso Dental Office | Clinic/Center | 20263 Saticoy St, Suite F, Winnetka, CA 91306-2591 | 2014-06-16 |
1164907739 | David Chang Dds Inc | Clinic/Center | 20439 Sherman Way, Winnetka, CA 91306-3109 | 2018-09-30 |
1538346036 | Alexander Oral Surgery, Ltd. | Clinic/Center | 800 Oak St, Suite 101, Winnetka, IL 60093-2555 | 2008-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
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1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
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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.