MEDICARE: NATALIE UMOF DDS

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	1223P0221X	Pediatric Dentistry	62724	CA

General Provider Information

NPI Number	:	1669800439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE UMOF DDS

Provider Business Mailing Address
First Line	:	217 E OAK AVE
Second Line	:	#1
City	:	EL SEGUNDO
State	:	CA
Zip	:	90245-2368
Country	:	US
Telephone Number	:	310-903-3006
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 MANHATTAN BEACH BLVD
Second Line	:	#D226
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-5345
Country	:	US
Telephone Number	:	310-545-5757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2013
Last Update Date	:	10/14/2013

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