1194777532 NPI number — M ZAIDA CARBAJAL D.D.S

Table of content: M ZAIDA CARBAJAL D.D.S (NPI 1194777532)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194777532 NPI number — M ZAIDA CARBAJAL D.D.S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARBAJAL
Provider First Name:
M
Provider Middle Name:
ZAIDA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.D.S
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194777532
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4581 SAINT ANDREWS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHINO HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91709-7967
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-393-2239
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
611 N EUCLID AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ONTARIO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91762-3223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-235-4148
Provider Business Practice Location Address Fax Number:
909-235-4636
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  41065 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: B41065-01 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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