MEDICARE: DAVID CEDENO MD DDS PROFESSIONAL CORPORATION

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1003384579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID CEDENO MD DDS PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1127 WILSHIRE BLVD STE 1510
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4006
Country	:	US
Telephone Number	:	213-977-0943
Fax Number	:	213-977-0139

Provider Business Practice Location Address
First Line	:	1127 WILSHIRE BLVD STE 1510
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4006
Country	:	US
Telephone Number	:	213-977-0943
Fax Number	:	213-977-0139

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MISS DIANN BOONNARAGORN
Credential	:
Telephone Number	:	213-270-3235

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	11/02/2018

Similar Medicare Providers

1477585602 — SPECTRUM DIAGNOSTIC SERVICES INC
Practice Location Address:

1127 WILSHIRE BLVD STE 1507
LOS ANGELES, CA
90017-4006

Practice Phone: 213-977-1399
Practice Fax:

1609081454 — DR. FARAH SHAAZ KHAN D.M.D.
Practice Location Address:

1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA
90017-4006

Practice Phone: 213-201-1388
Practice Fax:

1750547691 — EDWIN M. ASHLEY INC.
Practice Location Address:

1127 WILSHIRE BLVD STE 1514
LOS ANGELES, CA
90017-4006

Practice Phone: 213-742-9704
Practice Fax:

1114202892 — ALVARADO EYE SURGERY CENTER LLC
Practice Location Address:

1127 WILSHIRE BLVD STE 1515
LOS ANGELES, CA
90017-4006

Practice Phone: 213-483-0150
Practice Fax:

1629474572 — JERRY BOSTRE
Practice Location Address:

1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA
90017-4006

Practice Phone: 213-201-1388
Practice Fax: 213-201-1398

1831596816 — DOMINIQUE DIAZ
Practice Location Address:

1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA
90017-4006

Practice Phone: 213-201-1388
Practice Fax:

Directions to “DAVID CEDENO MD DDS PROFESSIONAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.