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1154410710 NPI number — NATALIA MARIA HOMYAK DDS

NPI Number: 1154410710
Health Care Provider/Practitioner: NATALIA MARIA HOMYAK DDS

Information about “1154410710” NPI (NATALIA MARIA HOMYAK DDS) exists in 1154410710 in HTML format HTML  |  1154410710 in plain Text format TXT  |  1154410710 in PDF (Portable Document Format) PDF  |  1154410710 in an XML format XML  formats.

NPI Number : 1154410710 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154410710",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOMYAK",
    "FirstName": "NATALIA",
    "MiddleName": "MARIA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3200 BARBYDELL DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90064-4808",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-865-9407",
    "MailingAddressFaxNumber": "310-823-8600",
    "FirstLinePracticeLocationAddress": "13160 MINDANAO WAY",
    "SecondLinePracticeLocationAddress": "ROOM 170",
    "PracticeLocationAddressCityName": "MARINA DEL REY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90292-6393",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-823-6400",
    "PracticeLocationAddressFaxNumber": "310-823-8600",
    "EnumerationDate": "10/12/2006",
    "LastUpdateDate": "03/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "49542",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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