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 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.
Comments/ Reviews:
Read all the reviews posted for Dr. Charise Ruby Untalan below. You may also share your own experience with Dr. Charise Ruby Untalan. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.