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Comprehensive Dental Care

Clinic/Center, Dental in Inglewood, CA. Organization (NPI-2).

NPI number1003191982
StatusActive
Last updated in NPPESOct 11, 2011

Details

NPI
1003191982
Entity type
Organization (NPI-2)
Legal business name
Comprehensive Dental Care
Organization subpart
No
Enumeration date
Oct 11, 2011
Last updated
Oct 11, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental53222CAYes

Practice location

141 N Prairie Ave
Inglewood, CA 90301-1904

Phone 310-330-0080 · Fax 310-330-3995

Mailing address

141 N Prairie Ave
Inglewood, CA 90301-1904

Phone 310-330-0080 · Fax 310-330-3995

Authorized official

Luis A Herrera
President/Owner
3103300080

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Clinic/Center providers in Inglewood, CA

All 11 Dental Clinic/Center providers in Inglewood · All 2,158 providers in Inglewood

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