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General NPI Number Information
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NPI Number | 1740439264
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Entity Type | Organization
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Legal Business Name | ARTURO V. HERNANDEZ, D.D.S.
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 875 N WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-3759
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Country | US
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Telephone | 323-469-5700
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Fax | 323-469-5703
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Provider Business Mailing Address
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Address Line | 3120 W 6TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90020-1702
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Country | US
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Telephone | 323-469-5700
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Fax | 323-469-5703
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Authorized Official
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Title or Position | DENTIST-OWNER
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Name | DR. ARTURO VILLARAZA HERNANDEZ
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Credential | D.D.S.
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Telephone | 213-351-7661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 31925
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License Number State | CA
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