Organization · NPI-2

A. Pineda So, DDS, INC.

Dentist, General Practice · Los Angeles, CA

NPI number1740323716
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740323716
Entity type
Organization (NPI-2)
Legal business name
A. Pineda So, DDS, INC.
Organization subpart
No
Enumeration date
Feb 15, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice37163CAYes

Practice location

1619 Glendale Blvd
Los Angeles, CA 90026-2416

Phone 213-484-9416 · Fax 213-484-9414

Mailing address

1619 Glendale Blvd
Los Angeles, CA 90026-2416

Phone 213-484-9416 · Fax 213-484-9414

Authorized official

Armando Pineda So
President
2134849416

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 Dentist, General Practice providers in Los Angeles, CA