ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP (NPI# 1912508177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912508177 |
| Entity Type | Organization |
| Organization Name | ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP |
| Practice Address |
951 W. Whittier Blvd La Habra CA 90631-3743 |
| Mailing Address |
901 W. Whittier Blvd La Habra CA 90631-3743 |
| Practice Telephone | 5623520434 |
| Practice Fax Number | 8668173581 |
| Mailing Telephone | 5623560948 |
| Mailing Fax Number | 8668173581 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | ALAN BOVAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5623560948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Gold Coast Dental La Habra 951 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694656 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 11875 Pigeon Pass Road, Suite B9, Moreno Valley, CA 92557-6039 | 2020-09-16 |
| 1962018887 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 4595 La Sierra Ave, Riverside, CA 92505-2900 | 2020-09-16 |
| Street Address |
951 W. WHITTIER BLVD |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| 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 |
|---|---|---|---|---|
| 1023679958 | Dean Kent Stewart | Dentist | 361 E Whittier Blvd Ste A, La Habra, CA 90631-3842 | 2019-06-21 |
| 1457717423 | Kyung Sook Yu, Dds. Inc | Dentist | 1370 S Beach Blvd Ste E, La Habra, CA 90631-1178 | 2016-01-06 |
| 1417336363 | Jessica T Sung | Dentist | 1701 W Imperial Hwy, Suite #b, La Habra, CA 90631-0603 | 2015-05-26 |
| 1699198622 | Michael C Mcclane Dds A Professional Corporation | Dentist | 2501 W La Habra Blvd Ste 7, La Habra, CA 90631-4354 | 2014-01-27 |
| 1467716894 | Ahmad Hassan Tokatli | Dentist | 1875 W La Habra Blvd, La Habra, CA 90631 | 2012-06-29 |
| 1407158223 | Noor Rahimi Dental Corporation | Dentist | 1701 W Imperial Hwy Ste B, La Habra, CA 90631-0604 | 2010-11-30 |
| 1447585575 | Alice Wan-ching Yang | Dentist | 501 S Idaho St Ste 190, La Habra, CA 90631-6047 | 2009-10-07 |
| 1043447980 | Ekta Amin | Dentist | 1030 W Imperial Hwy, La Habra, CA 90631-6901 | 2009-06-18 |
| 1912148297 | Kourosh Dianat | Dentist | 1250 W Whittier Blvd, La Habra, CA 90631-3611 | 2009-03-16 |
| 1295908606 | Enrico J. Rideau A Dental Corporation Dba Plaza Dental | Dentist | 185 W La Habra Blvd, La Habra, CA 90631-5401 | 2008-04-07 |
| Find all providers in LA HABRA | ||||
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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.