PLAYA VISTA DENTAL
NPI 1013367259
Dentist - General Practice in Playa Vista, CA

Q: What is Playa Vista Dental's NPI number?

The NPI number for Playa Vista Dental is 1013367259. It was assigned to this organization in the NPPES registry on June 19, 2016.

Q: What is Playa Vista Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 19, 2016

12975 AGUSTIN PL, #125, PLAYA VISTA, CA 90094(213) 453-3407 Get Directions Write a Review

NPPES record last updated: June 19, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Playa Vista Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLAYA VISTA DENTAL (NPI 1013367259) is a healthcare organization registered as a general practice in Playa Vista, California and active in the NPI registry since June 2016. The organization lists Lawrence Fung, Owner, as its authorized official.

NPPES Registry Identity

NPI1013367259

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePLAYA VISTA DENTAL

Location Address12975 AGUSTIN PL, #125Playa Vista, CA 90094-2307

Mailing Address12975 Agustin Pl, #125Playa Vista, CA 90094-2307 · (213) 453-3407

Phone(213) 453-3407

Organization SubpartNo

Authorized OfficialLawrence FungOwner · (213) 453-3407

Enumeration DateJune 19, 2016

✔ NPI 1013367259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 60753

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

12975 AGUSTIN PL, Playa Vista, CA 90094

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Playa Vista Dental's NPI number?

The NPI number for Playa Vista Dental is 1013367259. It was assigned to this organization in the NPPES registry on June 19, 2016.

Where is Playa Vista Dental located?

Playa Vista Dental is located at 12975 Agustin Pl #125, Playa Vista, CA 90094. The listed phone number is (213) 453-3407.

What is Playa Vista Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Playa Vista Dental was last updated on June 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.