Provider Demographics
NPI:1043310741
Name:TRIGOSO, OSCAR RAMIRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:RAMIRO
Last Name:TRIGOSO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3002 MARNA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-4401
Mailing Address - Country:US
Mailing Address - Phone:562-430-5385
Mailing Address - Fax:
Practice Address - Street 1:9309 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-5424
Practice Address - Country:US
Practice Address - Phone:562-801-1284
Practice Address - Fax:562-801-1286
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA416861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG92457-01OtherMEDICAL