Ota Dental Corp

LBN: Ota Dental Corp
Ota Dental Corp is an health care organization with primary practice located at 11834 Bryant St #103, Yucaipa CA 92399-3815. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Ota Dental Corp can be contacted via phone (909) 797-8090, or through Ota, Lora C via phone (909) 797-8090.

Contact Information

Primary practice address
11834 Bryant St #103 Yucaipa CA 92399-3815
Phone: (909) 797-8090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ota, Lora C Doctor of Dental Surgery (DDS)
Phone: (909) 797-8090

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 57849 California

Profile Details

NPI number 1043559453
LBN Legal business name Ota Dental Corp
DBA Doing business as
Authorized official Ota, Lora C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2013
Last updated Feb 5th, 2013 - about 12 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 1043559453 NPPES
California MEDICAID 57849

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