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.
Organization
GONZALEZ PROFESSIONAL DENTAL CORPORATION
Active
Organization
GONZALEZ PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALELI ESCALANTE GONZALEZ D.D.S. (D.D.S.)
(213) 413-1283
Entity
Organization
Contact information
Practice address
2010 WILSHIRE BLVD, STE.# 512, LOS ANGELES, CA 90057-3507
(213) 413-1283
(213) 413-0982
Mailing address
2010 WILSHIRE BLVD, STE.# 512, LOS ANGELES, CA 90057-3507
(213) 413-1283
(213) 413-0982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G94018-01
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
03/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up