Dr. Modesto Luis is a South Gate, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Modesto Luis is 36401 for General Practice Dentistry in California. His current practice location is 4444 Tweedy Blvd, South Gate. Patients can reach him at 323-564-2444.
Dr. Modesto Luis is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Modesto Luis 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. Modesto Luis
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
4444 Tweedy Blvd, South Gate, California, 90280-6304
Phone:
323-564-2444
Fax:
323-249-7565
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:
1720134091
NPI Enumeration Date:
26 Jan, 2007
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. Modesto Luis are as mentioned below.
License Number
Specialization
State
Status
36401
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Modesto Luis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D36401
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:
5238 Los Caballeros Way, Los Angeles, California
Zip:
90027-1012
Fax Number:
323-249-7565
Patients can reach Dr. Modesto Luis at 4444 Tweedy Blvd, South Gate, California or can call to book an appointment on 323-564-2444. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.