{
"Npi": {
"NPI": "1639369184",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MONICA ABUSLEME,DDS. INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "14621 NORDHOFF ST",
"SecondLineMailingAddress": "SUITE 1A",
"MailingAddressCityName": "PANORAMA CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91402-1829",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-891-1761",
"MailingAddressFaxNumber": "818-191-4061",
"FirstLinePracticeLocationAddress": "14621 NORDHOFF ST",
"SecondLinePracticeLocationAddress": "SUITE 1A",
"PracticeLocationAddressCityName": "PANORAMA CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91402-1829",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-891-1761",
"PracticeLocationAddressFaxNumber": "818-191-4061",
"EnumerationDate": "07/31/2007",
"LastUpdateDate": "07/31/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ABUSLEME",
"AuthorizedOfficialFirstName": "MONICA",
"AuthorizedOfficialMiddleName": "DEL PILAR",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "818-891-1761",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "B25317-01",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}