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DR. IDENIS FUNDORA DDS
NPI 1114297447
Dentist - General Practice in Los Angeles, CA

Active since January 03, 2012
9201 W SUNSET BLVD STE 315, LOS ANGELES, CA 90069(310) 274-7124 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Idenis Fundora Dds NPPES

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

DR. IDENIS FUNDORA DDS (NPI 1114297447) is an individual general practice provider in Los Angeles, California, licensed in California (47621) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1114297447
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IDENIS FUNDORACredential: DDS
Location Address9201 W SUNSET BLVD STE 315Los Angeles, CA 90069-3704
Mailing Address9201 W Sunset Blvd Ste 315Los Angeles, CA 90069-3704 · (310) 274-7124
Phone(310) 274-7124
Sole ProprietorYes
Enumeration DateJanuary 3, 2012
✔ NPI 1114297447 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 · 47621
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.
9201 W SUNSET BLVD STE 315, Los Angeles, CA 90069
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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 Idenis Fundora's NPI number?

The NPI number for Idenis Fundora is 1114297447. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Idenis Fundora located?

Idenis Fundora practices at 9201 W Sunset Blvd Ste 315, Los Angeles, CA 90069. The listed phone number is (310) 274-7124.

What is Idenis Fundora'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 Idenis Fundora was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.