MEDICARE: UPSIDE DOWN FROWN CARE, LLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1558154344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPSIDE DOWN FROWN CARE, LLC

Provider Business Mailing Address
First Line	:	13925 CITY CENTER DR STE 200
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5438
Country	:	US
Telephone Number	:	909-702-6745
Fax Number	:

Provider Business Practice Location Address
First Line	:	13925 CITY CENTER DR STE 200
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5438
Country	:	US
Telephone Number	:	909-702-6745
Fax Number	:

Authorized Official
Title or Position	:	OROFACIAL MYOLOGIST
Name	:	JACQUELINE BECERRA-LISING
Credential	:	RDH, BS
Telephone Number	:	909-702-6745

Provider Enumeration Date	:	05/26/2025
Last Update Date	:	05/26/2025

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