1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

DR. PORFIRIO S MARAVILLA JR. DENTIST
NPI 1053492272
Dentist - General Practice in Los Angeles, CA

Active since October 17, 2006
3540 WILSHIRE BLVD STE 208, LOS ANGELES, CA 90010(213) 388-2466(213) 388-9775 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Porfirio S Maravilla Jr. Dentist NPPES

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

DR. PORFIRIO S MARAVILLA JR. DENTIST (NPI 1053492272) is an individual general practice provider in Los Angeles, California, licensed in California (32356) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053492272
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PORFIRIO S MARAVILLA JR.Credential: DENTIST
Location Address3540 WILSHIRE BLVD STE 208Los Angeles, CA 90010-2346
Mailing Address3540 Wilshire Blvd Ste 208Los Angeles, CA 90010-2346 · (213) 388-2466 · Fax (213) 388-9775
Phone(213) 388-2466
Fax(213) 388-9775
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053492272 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 · 32356
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.

3540 WILSHIRE BLVD STE 208, Los Angeles, CA 90010
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PORFIRIO S. MARAVILLA JR. DMD INC
Dentist (General Practice)
3540 WILSHIRE BLVD STE 208
LOS ANGELES, CA 90010
Los Angeles County (213) 388-2466

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 Porfirio Maravilla's NPI number?

The NPI number for Porfirio Maravilla is 1053492272. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Porfirio Maravilla located?

Porfirio Maravilla practices at 3540 Wilshire Blvd Ste 208, Los Angeles, CA 90010. The listed phone number is (213) 388-2466.

What is Porfirio Maravilla's specialty?

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

What insurance does Porfirio Maravilla accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Porfirio Maravilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Porfirio Maravilla was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.