Dr. Charise Ruby Untalan is a Los Angeles, California based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Charise Ruby Untalan is 49984 for General Practice Dentistry in California. Her current practice location is 730 S Western Ave Ste 202, Los Angeles. Patients can reach her at 213-385-3828.
Dr. Charise Ruby Untalan is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Charise Ruby Untalan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Charise Ruby Untalan
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
730 S Western Ave Ste 202, Los Angeles, California, 90005-5901
Phone:
213-385-3828
Fax:
213-385-2144
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1255496782
NPI Enumeration Date:
26 Dec, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charise Ruby Untalan are as mentioned below.
License Number
Specialization
State
Status
49984
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Charise Ruby Untalan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G9241201
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5009 Alta Canyada Rd, La Canada, California
Zip:
91011-1716
Phone Number:
818-952-2630
Fax Number:
213-385-2144
Patients can reach Dr. Charise Ruby Untalan at 730 S Western Ave Ste 202, Los Angeles, California or can call to book an appointment on 213-385-3828. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.