MEDICARE: DR. JOSEPHINE D CADAOAS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	49285	CA

General Provider Information

NPI Number	:	1356466957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPHINE D CADAOAS DDS

Provider Business Mailing Address
First Line	:	4448 EAGLE ROCK BLVD
Second Line	:	SUITE D
City	:	LOS ANGELES
State	:	CA
Zip	:	90041-3512
Country	:	US
Telephone Number	:	323-916-0033
Fax Number	:	323-256-7069

Provider Business Practice Location Address
First Line	:	4448 EAGLE ROCK BLVD
Second Line	:	SUITE D
City	:	LOS ANGELES
State	:	CA
Zip	:	90041-3512
Country	:	US
Telephone Number	:	323-916-0033
Fax Number	:	323-256-7069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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