Jesmine Boghawala Dds Inc.

LBN: Jesmine Boghawala Dds Inc.
Jesmine Boghawala Dds Inc. is an health care organization with primary practice located at 10929 South St Ste 110B , Cerritos CA 90703-5365. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Managed Care Organizations / Health Maintenance Organization. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Jesmine Boghawala Dds Inc. can be contacted via phone (562) 860-6626, or through Boghawala, Jesmine via phone (562) 860-6626.

Contact Information

Primary practice address
10929 South St Ste 110B Cerritos CA 90703-5365
Phone: (562) 860-6626
Fax: (562) 860-6628
Website:
Map and Directions
Authorized official contact:
Name: Boghawala, Jesmine Doctor of Dental Surgery (DDS)
Phone: (562) 860-6626

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1033765870
LBN Legal business name Jesmine Boghawala Dds Inc.
DBA Doing business as
Authorized official Boghawala, Jesmine Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033765870 NPPES
California MEDICAID 1235486143

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