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DR. MAILE STEPHANIE OSBORNE DDS
NPI 1104406123
Dentist - General Practice in San Pedro, CA

Active since April 13, 2021
425 S PACIFIC AVE, SAN PEDRO, CA 90731(310) 547-0202 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2021, Apr 13, 2021 (2 updates tracked since 2021).

About Dr. Maile Stephanie Osborne Dds NPPES

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

DR. MAILE STEPHANIE OSBORNE DDS (NPI 1104406123) is an individual general practice provider in San Pedro, California, licensed in California (106851) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1104406123
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MAILE STEPHANIE OSBORNECredential: DDS
Location Address425 S PACIFIC AVESan Pedro, CA 90731-2625
Mailing Address425 S Pacific AveSan Pedro, CA 90731-2625 · (310) 547-0202
Phone(310) 547-0202
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1104406123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 106851
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
425 S PACIFIC AVE, San Pedro, CA 90731
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Other Providers at the Same Location NPPES 5

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

GRACE KIM
Dentist (General Practice)
425 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
JEFFREY RAMIREZ MD
Pediatrics
425 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
DR. ADELINE H NGUYEN DDS
Dentist
425 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
HARBOR COMMUNITY CLINIC INC
Pediatrics
425 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
MS. FOYA TAVANGARY PA
Physician Assistant
425 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202

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 Maile Osborne's NPI number?

The NPI number for Maile Osborne is 1104406123. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Maile Osborne located?

Maile Osborne practices at 425 S Pacific Ave, San Pedro, CA 90731. The listed phone number is (310) 547-0202.

What is Maile Osborne'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 Maile Osborne was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.