| J Acuna Loera Dental Corporation Inc | |
|
8300 Paradise Valley Rd Ste 122 Spring Valley CA 91977-6214 | |
| (619) 479-9143 | |
| Not Available |
| Full Name | J Acuna Loera Dental Corporation Inc |
|---|---|
| Speciality | Dentist |
| Location | 8300 Paradise Valley Rd Ste 122, Spring Valley, California |
| Authorized Official Name and Position | Jaime Acuna Loera (DENTIST) |
| Authorized Official Contact | 6194243456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Acuna Loera Dental Corporation Inc 8300 Paradise Valley Rd Ste 122 Spring Valley CA 91977-6214 Ph: (619) 479-9143 | J Acuna Loera Dental Corporation Inc 8300 Paradise Valley Rd Ste 122 Spring Valley CA 91977-6214 Ph: (619) 479-9143 |
| NPI Number | 1629518691 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 11/05/2021 |
| Medicare PECOS PAC ID | 4082012323 |
|---|---|
| Medicare Enrollment ID | O20211018001044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629518691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48320 (California) | Primary |
| Provider Name | Jaime Acuna Loera |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588723415 PECOS PAC ID: 0446557722 Enrollment ID: I20210929003440 |
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