1528325123 NPI number — MARIA MAGDALENA LIGAD DDS INC

Table of content: DR. ROSA YARELI FLORES M.D. (NPI 1467420489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528325123 NPI number — MARIA MAGDALENA LIGAD DDS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARIA MAGDALENA LIGAD DDS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1528325123
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15925 GALE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CITY OF INDUSTRY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91745-1645
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-336-6401
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15925 GALE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CITY OF INDUSTRY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91745-1645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-336-6401
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LIGAD
Authorized Official First Name:
MARIA MAGDALENA
Authorized Official Middle Name:
Authorized Official Title or Position:
DDS
Authorized Official Telephone Number:
626-336-6401

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  52420 , 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)