SAN ANGEL DENTAL, OFFICE OF MIA ANCHETA
NPI 1306398680
Clinic/Center - Dental in South Gate, CA

Q: What is Mia Larissa Ancheta, Dds, A Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since November 02, 2016

8720 GARFIELD AVE STE 104, SOUTH GATE, CA 90280(562) 927-9050(562) 927-9060 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Nov 2, 2016 (2 updates tracked since 2016).

On this page

About San Angel Dental, Office Of Mia Ancheta NPPES

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

SAN ANGEL DENTAL, OFFICE OF MIA ANCHETA (NPI 1306398680) is a healthcare organization registered as a dental in South Gate, California and active in the NPI registry since November 2016. The organization maintains a secondary practice location in South Gate and lists Mia Larissa Ancheta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306398680

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMIA LARISSA ANCHETA, DDS, A DENTAL CORPORATION

Location Address8720 GARFIELD AVE STE 104South Gate, CA 90280-3720

Mailing Address8720 Garfield Ave Ste 104South Gate, CA 90280-3720 · (562) 927-9050 · Fax (562) 927-9060

Phone(562) 927-9050

Fax(562) 927-9060

Organization SubpartNo

Authorized OfficialMia Larissa AnchetaCeo · (562) 927-9050

Enumeration DateNovember 2, 2016

Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration

NPPES CertifiedOctober 25, 2022

✔ NPI 1306398680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in CA · 47839

8720 GARFIELD AVE STE 104, South Gate, CA 90280

Open in Google Maps ↗

Other Names 3

Doing Business AsSan Angel Dental, Office Of Mia Ancheta

Doing Business AsMars Dental Group

Former Legal Business NameSan Angel Dental Management Company

Secondary Practice Location 1

Location 18720 Garfield Ave Ste 104South Gate, CA 90280-3720 · Phone (562) 927-9050 · Fax (562) 927-9060

Other Providers at the Same Location NPPES

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

LUIS MORAN DDS A DENTAL CORPORATION

Dentist (General Practice)

8720 GARFIELD AVE STE 104
SOUTH GATE, CA 90280

Los Angeles County (562) 927-9050

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 Mia Larissa Ancheta, Dds, A Dental Corporation's NPI number?

The NPI number for Mia Larissa Ancheta, Dds, A Dental Corporation is 1306398680. It was assigned to this organization in the NPPES registry on November 2, 2016. The provider is doing business as San Angel Dental, Office Of Mia Ancheta and Mars Dental Group. The provider was formerly known as San Angel Dental Management Company.

Where is Mia Larissa Ancheta, Dds, A Dental Corporation located?

Mia Larissa Ancheta, Dds, A Dental Corporation is located at 8720 Garfield Ave Ste 104, South Gate, CA 90280. The listed phone number is (562) 927-9050.

What is Mia Larissa Ancheta, Dds, A Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mia Larissa Ancheta, Dds, A Dental Corporation was last updated on October 25, 2022. 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.