# ECHARTE,FERNANDEZ PROFESSIONAL DENTAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356745459
- **Authorized official:** DR. OMAR JESUS FERNANDEZ DDS (VICE-PRESIDENT)
- **Authorized official phone:** (213) 483-1234

## Contact information

- **Practice address:** 525 S ALVARADO ST, LOS ANGELES, CA 90057-2903
- **Practice address phone:** (213) 483-1234
- **Mailing address:** 525 S ALVARADO ST, LOS ANGELES, CA 90057-2903
- **Mailing address phone:** (213) 483-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 53449 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 10/17/2014