REBECCA IRENE A PENA D M D A DENTAL
NPI 1306190095
Dentist - Oral and Maxillofacial Surgery in Lakewood, CA

Active since November 01, 2012
5445 DEL AMO BLVD, SUITE 103, LAKEWOOD, CA 90712(562) 920-1726(562) 920-1728 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 1, 2019 (2 updates tracked since 2019).

About Rebecca Irene A Pena D M D A Dental NPPES

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

REBECCA IRENE A PENA D M D A DENTAL (NPI 1306190095) is a healthcare organization registered as an oral and maxillofacial surgery in Lakewood, California and active in the NPI registry since November 2012. The organization lists Rebecca Irene Alcazaren Pena, President, as its authorized official.

NPPES Registry Identity

NPI1306190095
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameREBECCA IRENE A PENA D M D A DENTAL
Location Address5445 DEL AMO BLVD, SUITE 103Lakewood, CA 90712-2760
Mailing Address5445 Del Amo Blvd, Suite 103Lakewood, CA 90712-2760 · (562) 920-1726 · Fax (562) 920-1728
Fax(562) 920-1728
Organization SubpartNo
Authorized OfficialRebecca Irene Alcazaren PenaPresident · (562) 920-1726
Enumeration DateNovember 1, 2012
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1306190095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X
5445 DEL AMO BLVD, Lakewood, CA 90712

Other Identifiers 2

Other1457368425CA · Npi Type 1
Other49181CA · Dental License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Podiatrist
5445 DEL AMO BLVD
LAKEWOOD, CA 90712
Podiatrist
5445 DEL AMO BLVD, STE 102
LAKEWOOD, CA 90712
Dentist
5445 DEL AMO BLVD, SUITE 103
LAKEWOOD, CA 90712
Podiatrist
5445 DEL AMO BLVD
LAKEWOOD, CA 90712

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 Rebecca Irene A Pena D M D A Dental's NPI number?

The NPI number for Rebecca Irene A Pena D M D A Dental is 1306190095. It was assigned to this organization in the NPPES registry on November 1, 2012.

Where is Rebecca Irene A Pena D M D A Dental located?

Rebecca Irene A Pena D M D A Dental is located at 5445 Del Amo Blvd Suite 103, Lakewood, CA 90712. The listed phone number is (562) 920-1726.

What is Rebecca Irene A Pena D M D A Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Rebecca Irene A Pena D M D A Dental was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.