| Rebecca Irene A Pena D M D A Dental | |
|
5445 Del Amo Blvd Suite 103 Lakewood CA 90712-2760 | |
| (562) 920-1726 | |
| (562) 920-1728 |
| Full Name | Rebecca Irene A Pena D M D A Dental |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5445 Del Amo Blvd, Lakewood, California |
| Authorized Official Name and Position | Rebecca Irene Alcazaren Pena (PRESIDENT) |
| Authorized Official Contact | 5629201726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Irene A Pena D M D A Dental 5445 Del Amo Blvd Suite 103 Lakewood CA 90712-2760 Ph: (562) 920-1726 | Rebecca Irene A Pena D M D A Dental 5445 Del Amo Blvd Suite 103 Lakewood CA 90712-2760 Ph: (562) 920-1726 |
| NPI Number | 1306190095 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306190095 | NPI | - | NPPES |
| 1457368425 | Other | CA | NPI TYPE 1 |
| 49181 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Ismile Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-531-7788 | |
Kenny Young Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20147 Pioneer Blvd, Lakewood, CA 90715 Phone: 562-924-0558 | |
Mk Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5249 Paramount Blvd, Lakewood, CA 90712 Phone: 562-731-0999 | |
Jiten M Vasa, Dds., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11455 Carson St Ste E, Lakewood, CA 90715 Phone: 562-860-7116 Fax: 562-860-7115 | |
Lakewood Cerritos Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5819 Adenmoor Ave, Lakewood, CA 90713 Phone: 562-804-2296 Fax: 562-804-1686 | |
Abaro Dds Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4346 South St, Lakewood, CA 90712 Phone: 562-408-3500 Fax: 562-408-3736 | |
N Ozder Dental Practice Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5037 Lakewood Blvd, Lakewood, CA 90712 Phone: 562-531-0221 Fax: 562-531-1262 |