Provider Demographics
NPI:1033716535
Name:JOSEPH L DINGLASAN SR MD INC.
Entity Type:Organization
Organization Name:JOSEPH L DINGLASAN SR MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:DINGLASAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:909-723-0057
Mailing Address - Street 1:709 BOWCREEK DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1885
Mailing Address - Country:US
Mailing Address - Phone:909-723-0057
Mailing Address - Fax:
Practice Address - Street 1:3111 LOS FELIZ BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1599
Practice Address - Country:US
Practice Address - Phone:909-723-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty