Echarte, Fernandez Professional Dental Corporation
Dentist in La Puente, CA. Organization (NPI-2).
NPI number1669870341
StatusActive
Last updated in NPPESDec 12, 2014
Details
- NPI
- 1669870341
- Entity type
- Organization (NPI-2)
- Legal business name
- Echarte, Fernandez Professional Dental Corporation
- Organization subpart
- No
- Enumeration date
- Dec 12, 2014
- Last updated
- Dec 12, 2014
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 52379 | CA | Yes |
Practice location
1150 N Hacienda BlvdLa Puente, CA 91744-2023
Phone 626-350-7088 · Fax 626-350-8850
Mailing address
1150 N Hacienda BlvdLa Puente, CA 91744-2023
Phone 626-350-7088 · Fax 626-350-8850
Authorized official
Gonazalo Echarte
President
6263507087
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