LIDYA SORAYA ACEVEDO (NPI# 1881873552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881873552 |
| Entity Type | Individual |
| Full Name | LIDYA SORAYA ACEVEDO |
| Practice Address |
11976 Aviation Blvd Inglewood CA 90304-1001 |
| Mailing Address |
257 S Reeves Dr Ph Beverly Hills CA 90212-4046 |
| Practice Telephone | 3106436221 |
| Mailing Telephone | 7862903652 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
55423 | CA | Dental Providers |
| Street Address |
11976 AVIATION BLVD |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90304-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295958353 | Hossein Javid | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304 | 2007-04-10 |
| 1104261353 | Javid Brothers | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304-1001 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639164 | Elizabeth Jett | Technician | 5527 W. 119th Place, Inglewood, CA 90304 | 2019-09-26 |
| 1376099267 | Makasha Sims | Licensed Vocational Nurse | 4450 W. Century Bld., Inglewood, CA 90304 | 2016-08-30 |
| 1528309655 | Ma Roxanne Fermin | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2013-03-14 |
| 1063952554 | Samantha Michelle Kirzner | Dentist | 4201 W Century Blvd, Inglewood, CA 90304 | 2017-03-02 |
| 1639557218 | Priority Vision Optometry Inc | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2015-05-14 |
| 1538436811 | Harmik Torosian | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2011-11-30 |
| 1114310505 | Kian M Javid | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2015-03-10 |
| 1235480963 | South Bay Wellness Center | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2012-09-20 |
| 1366704728 | Hossein Javid, Dds, Inc | Clinic/Center | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2012-06-12 |
| 1811994478 | Bruce Charles Daugherty | Surgery | 5301 W 119th Pl, Inglewood, CA 90304-1019 | 2005-06-28 |
| Find all providers in zip 90304 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043599657 | Bina Korouri Sage Dental Corporation | Dentist | 11344a Crenshaw Blvd, Inglewood, CA 90303-2807 | 2011-08-12 |
| 1326347063 | Aaa Dentistry @ Imperial Crenshaw Dental Center | Dentist | 2798 W Imperial Hwy, Inglewood, CA 90303-3111 | 2011-03-21 |
| 1972836583 | Parabjeet Kaur | Dentist | 300 East Buckthorn St, Inglewood, CA 90301 | 2009-09-14 |
| 1649427832 | Shadi Hosseini | Dentist | 3561 W Century Blvd, Inglewood, CA 90303-1223 | 2008-08-19 |
| 1326210774 | Peter H. Bae Dds. Dental Corporation | Dentist | 3530 W Century Blvd Ste 107, Inglewood, CA 90303-1234 | 2008-03-26 |
| 1891980181 | Remy Victor Black | Dentist | 318 W. Alpine 92707, 808 E. Manchester Blvd, Inglewood, CA 90301-1914 | 2007-09-10 |
| 1740473347 | Ericdeep Singh Kaleka | Dentist | 6818 S La Cienega Blvd, #102, Inglewood, CA 90302-1912 | 2007-08-27 |
| 1942493572 | Pardeep Singh Brar | Dentist | 6818 S La Cienega Blvd Ste 102, Inglewood, CA 90302-4119 | 2007-08-27 |
| 1154521391 | Luis Ali Herrera | Dentist | 141 N Prairie Ave, Inglewood, CA 90301-1904 | 2007-07-24 |
| 1881894327 | Pragnesh J Dholakiya and Pooran B Dalwani | Dentist | 400 E Regent St, Inglewood, CA 90301-1316 | 2007-07-23 |
| Find all providers in INGLEWOOD | ||||
Please comment or provide details below to improve the information on LIDYA SORAYA ACEVEDO.
| 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.