WHITE MEMORIAL COMMUNITY HEALTH CENTER
NPI 1619456928
Dentist in Los Angeles, CA

Active since August 08, 2018
1828 E CESAR E CHAVEZ AVE STE 4100, LOS ANGELES, CA 90033(323) 987-1200(323) 987-1212 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2020, Aug 8, 2018 (2 updates tracked since 2018).

  • Organization
  • Dentist

About WHITE MEMORIAL COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for White Memorial Community Health Center, a provider established in Los Angeles, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1619456928 assigned on August 2018. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Carl Edward Coan (Ceo)

NPI
1619456928 Verify this NPI
Provider Name
WHITE MEMORIAL COMMUNITY HEALTH CENTER
Entity Type
Organization
Location Address
1828 E CESAR E CHAVEZ AVE STE 4100 LOS ANGELES, CA 90033
Location Phone
(323) 987-1200
Location Fax
(323) 987-1212
Mailing Address
1828 E CESAR E CHAVEZ AVE STE 4100 LOS ANGELES, CA 90033
Mailing Phone
(323) 987-1200
Mailing Fax
(323) 987-1212
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-08-2018
Last Update Date
02-05-2020
Code Navigator

A dentist like White Memorial Community Health Center is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARL EDWARD COAN

Authorized Official Title
CEO
Authorized Official Phone
(323) 987-1222

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619456928, enumerated as an "organization" on August 08, 2018.

The provider is located at 1828 E CESAR E CHAVEZ AVE STE 4100 LOS ANGELES, CA 90033 and the phone number is (323) 987-1200.

Dentist with taxonomy code 122300000X.