MR. FAVIO ALBERTO LEON JR. (NPI# 1790050540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790050540 |
| Entity Type | Individual |
| Full Name | MR. FAVIO ALBERTO LEON JR. |
| Credential | RDA |
| Practice Address |
2604 S. Vermont Ave., #f West Coast Dental Group Los Angeles CA 90007 |
| Mailing Address |
133 N Reno St Apt 208 Los Angeles CA 90026-4678 |
| Practice Telephone | 3237313333 |
| Mailing Telephone | 2138588748 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 77346 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RDA LICENSE | 77346 | 01 |
| Street Address |
2604 S. VERMONT AVE., #F WEST COAST DENTAL GROUP |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| 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 |
|---|---|---|---|---|
| 1588261119 | Andrea Conners | Dental Assistant | 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 | 2020-10-06 |
| 1821604539 | Liliana Manzo | Dental Assistant | 2435 West Blvd, Los Angeles, CA 90016-1660 | 2020-09-17 |
| 1730707548 | Elizabeth Rivera | Dental Assistant | 316 E 25th St, Los Angeles, CA 90011-1406 | 2020-07-08 |
| 1801413778 | Catherine Johnson | Dental Assistant | 325 E 102nd St, Los Angeles, CA 90003-4811 | 2020-06-26 |
| 1366065682 | Nayelly Ruby Gutierrez | Dental Assistant | 149 S Kern Ave, Los Angeles, CA 90022-1626 | 2020-05-20 |
| 1104449511 | Noemi Paredes | Dental Assistant | 3838 1/2 Crawford St, Los Angeles, CA 90011-2889 | 2020-05-19 |
| 1548802887 | David Octavio Torres | Dental Assistant | 1323 E 78th St, Los Angeles, CA 90001-3015 | 2019-10-08 |
| 1821654633 | Maria R Rangel | Dental Assistant | 6215 Holmes Ave, Los Angeles, CA 90001-1821 | 2019-05-16 |
| 1215498167 | Eufemia Gracia | Dental Assistant | 2346 S Cloverdale Ave, Los Angeles, CA 90016-2121 | 2019-03-25 |
| 1326528563 | Geremias Aguilar Jr. | Dental Assistant | 481 E Avenue 28 Apt 4, Los Angeles, CA 90031-2076 | 2018-08-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
Please comment or provide details below to improve the information on MR. FAVIO ALBERTO LEON JR..
| 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.