Provider Demographics
NPI:1073636049
Name:LUZ ALIMARIO-PEDROZA DDS PC
Entity Type:Organization
Organization Name:LUZ ALIMARIO-PEDROZA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIMARIO-PEDROZA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-586-2828
Mailing Address - Street 1:25381 ALICIA PKWY
Mailing Address - Street 2:SUITE R
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4957
Mailing Address - Country:US
Mailing Address - Phone:949-586-2828
Mailing Address - Fax:949-586-2727
Practice Address - Street 1:25381 ALICIA PKWY
Practice Address - Street 2:SUITE R
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4957
Practice Address - Country:US
Practice Address - Phone:949-586-2828
Practice Address - Fax:949-586-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty