MEDICARE: DENTAL CARE OF RANCHO BERNARDO

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	261QD0000X	Dental Clinic/Center	50720	CA

General Provider Information

NPI Number	:	1528216595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL CARE OF RANCHO BERNARDO

Provider Business Mailing Address
First Line	:	12120 ALTA CARMEL CT
Second Line	:	SUITE 410C
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-3864
Country	:	US
Telephone Number	:	858-385-9188
Fax Number	:

Provider Business Practice Location Address
First Line	:	12120 ALTA CARMEL CT
Second Line	:	SUITE 410C
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-3864
Country	:	US
Telephone Number	:	858-385-9188
Fax Number	:

Authorized Official
Title or Position	:	CEO/DENTIST
Name	:	DR. BERNABE BARR URBANO AMBROSIO
Credential	:	DMD
Telephone Number	:	858-385-9188

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	08/17/2010

Similar Medicare Providers

1952454019 — DR. BERNABE BARR URBANO AMBROSIO DMD
Practice Location Address:

12120 ALTA CARMEL CT , SUITE 410C
SAN DIEGO, CA
92128-3864

Practice Phone: 858-385-9188
Practice Fax: 858-385-9328

1952760787 — MEC SERVICES CORP
Practice Location Address:

11706 ALDERHILL TER
SAN DIEGO, CA
92131-3864

Practice Phone: 858-218-6090
Practice Fax: 858-225-7491

1518578954 — MINA MARKLEY CASTLEMAN
Practice Location Address:

3864 35TH ST APT 12
SAN DIEGO, CA
92104-3162

Practice Phone: 512-705-2284
Practice Fax:

1245327287 — MR. MATTHEW J MICHAUD LMT
Practice Location Address:

3864 SAN JOSE PARK DRIVE
JACKSONVILLE, FL
32217

Practice Phone: 904-737-8552
Practice Fax: 904-737-8113

1811197536 — DR. CHANG LI LEE M.D.
Practice Location Address:

399 E HIGHLAND AVE STE 223
SAN BERNARDINO, CA
92404-3864

Practice Phone: 909-475-5200
Practice Fax: 909-475-5255

1619161049 — DR. CYNTHIA JASA SOTO M.D.
Practice Location Address:

399 E HIGHLAND AVE STE 223
SAN BERNARDINO, CA
92404-3864

Practice Phone: 909-475-5200
Practice Fax:

Directions to “DENTAL CARE OF RANCHO BERNARDO ” 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.