| Night Owl Dental | |
|
2262 Pacific Coast Hwy Lomita CA 90717-2532 | |
| (310) 530-3790 | |
| (310) 530-3246 |
| Full Name | Night Owl Dental |
|---|---|
| Speciality | Dentist |
| Location | 2262 Pacific Coast Hwy, Lomita, California |
| Authorized Official Name and Position | Jde Bilbao (PRESIDENT) |
| Authorized Official Contact | 3105303790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Night Owl Dental 2262 Pacific Coast Hwy Lomita CA 90717-2532 Ph: (310) 530-3790 | Night Owl Dental 2262 Pacific Coast Hwy Lomita CA 90717-2532 Ph: (310) 530-3790 |
| NPI Number | 1225448863 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Medicare PECOS PAC ID | 5092939694 |
|---|---|
| Medicare Enrollment ID | O20140623001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225448863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56034 (California) | Primary |
| Provider Name | Jo Devenne Elek Bilbao |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265620009 PECOS PAC ID: 6901020502 Enrollment ID: I20140623002120 |
Annie Goh Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25897 Western Ave, Suite 2, Lomita, CA 90717 Phone: 310-530-0900 Fax: 310-530-8508 | |
Misung Paik Dds A Professional Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1816 Lomita Blvd, Lomita, CA 90717 Phone: 310-326-4117 Fax: 310-326-0081 | |
Leo Jireh C Abelita Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 And A Half Lomita Boulevard, Lomita, CA 90717 Phone: 310-539-1224 Fax: 310-530-5796 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1929 Pacific Coast Hwy, Unit A, Lomita, CA 90717 Phone: 310-602-7092 Fax: 310-602-7442 | |
Hiroko Grace Murotani Dds Inc., A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Pacific Coast Hwy Ste T, Lomita, CA 90717 Phone: 424-347-8008 Fax: 844-481-9664 | |
Ronald Cw Kim Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1816 Lomita Blvd, Lomita, CA 90717 Phone: 424-223-2699 |