| Jorge De La Osa Dds Incorporated | |
|
11629 Lower Azusa Rd Ste H El Monte CA 91732-1389 | |
| (626) 672-0224 | |
| Not Available |
| Full Name | Jorge De La Osa Dds Incorporated |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11629 Lower Azusa Rd Ste H, El Monte, California |
| Authorized Official Name and Position | Xochitl Cordoba (SECRETARY) |
| Authorized Official Contact | 6266720884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge De La Osa Dds Incorporated 11629 Lower Azusa Rd Ste H El Monte CA 91732-1389 Ph: (626) 672-0224 | Jorge De La Osa Dds Incorporated 11629 Lower Azusa Rd Ste H El Monte CA 91732-1389 Ph: (626) 672-0224 |
| NPI Number | 1740917574 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740917574 | NPI | - | NPPES |
| 1336186618 | Medicaid | CA | |
| 54134 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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