MJ ROH DDS DENTAL CORPORATION (NPI# 1972159242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972159242 |
| Entity Type | Organization |
| Organization Name | MJ ROH DDS DENTAL CORPORATION |
| Practice Address |
5914 Pacific Blvd Huntington Park CA 90255-2929 |
| Practice Telephone | 3237342284 |
| Practice Fax Number | 3237343178 |
| Mailing Telephone | 3237342284 |
| Mailing Fax Number | 3237343178 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | DR. JEONG HO ROH (PRESIDENT) |
| Authorized Official Telephone | 2132689274 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PACIFIC CHOICE DENTAL | Doing Business As Name - Organization |
| Street Address |
5914 PACIFIC BLVD |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588084040 | Jang Kil Yi Dds Professional Dental Corporation | Dentist | 5914 Pacific Blvd, Huntington Park, CA 90255-2929 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
| 1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
| 1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
| 1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
| 1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
| 1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
| 1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
| 1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
| 1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
| 1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
| Find all providers in zip 90255 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607425 | S. Shaun Daneshgar Dmd Inc | Clinic/Center | 2771 E Florence Ave Ste E, Huntington Park, CA 90255-5750 | 2018-11-06 |
| 1699970848 | Clinica Dental Familiar Seville | Clinic/Center | 6615 Seville Ave, Huntington Park, CA 90255-4801 | 2007-06-18 |
| 1841761335 | Jin Kyu Lee Dds Inc | Clinic/Center | 7221 Pacific Blvd, Huntington Park, CA 90255-5734 | 2018-12-10 |
| 1609324623 | Jeffrey Kawilarang Dds Inc | Clinic/Center | 2553 E Slauson Ave, Huntington Park, CA 90255-2897 | 2016-09-19 |
| 1770978223 | Ronald Cruz Abaro Dds Inc. | Clinic/Center | 3131 E Florence Ave, Huntington Park, CA 90255-5839 | 2015-04-01 |
| 1356530141 | Andrew Shieh | Clinic/Center | 2563 Zoe Ave, Huntington Park, CA 90255-4070 | 2007-10-17 |
| 1932399565 | Harry Kawilarang Dds, Inc. | Clinic/Center | 2553 E Slauson Ave, Huntington Park, CA 90255-2897 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON PARK |
| Zip Code | 90255 |
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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.