Provider Demographics
NPI:1437266376
Name:PLANELLS, ANA M (DDS)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:PLANELLS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 N LOS COYOTES DIAGONAL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-3918
Mailing Address - Country:US
Mailing Address - Phone:562-377-1375
Mailing Address - Fax:562-377-1343
Practice Address - Street 1:3320 N LOS COYOTES DIAGONAL
Practice Address - Street 2:SUITE 200
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-3918
Practice Address - Country:US
Practice Address - Phone:562-377-1375
Practice Address - Fax:562-377-1343
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA493951223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223P0221XDental ProvidersDentistPediatric Dentistry
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA49395OtherMEDI-CAL PROVIDER NUMBER
CA49395OtherHEALTHY FAMILIES PROVIDER