| Alfredo Ayala, Dds A Professional Corporation | |
|
12038 Rosecrans Ave Norwalk CA 90650-4121 | |
| (562) 943-3939 | |
| (562) 943-3737 |
| Full Name | Alfredo Ayala, Dds A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 12038 Rosecrans Ave, Norwalk, California |
| Authorized Official Name and Position | Alfredo Ayala (CEO) |
| Authorized Official Contact | 5622196201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfredo Ayala, Dds A Professional Corporation 12038 Rosecrans Ave Norwalk CA 90650-4121 Ph: (562) 219-6201 | Alfredo Ayala, Dds A Professional Corporation 12038 Rosecrans Ave Norwalk CA 90650-4121 Ph: (562) 943-3939 |
| NPI Number | 1356056477 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 5092244525 |
|---|---|
| Medicare Enrollment ID | O20250128003529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356056477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Alfredo Ayala |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750641262 PECOS PAC ID: 6901335439 Enrollment ID: I20250128003624 |
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