Provider Demographics
NPI:1447383211
Name:RM KAMINISHI DDS AND DA HOCHWALD DDS INC
Entity Type:Organization
Organization Name:RM KAMINISHI DDS AND DA HOCHWALD DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAMINISHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-866-3727
Mailing Address - Street 1:14343 BELLFLOWER BL
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-3135
Mailing Address - Country:US
Mailing Address - Phone:562-866-3727
Mailing Address - Fax:562-804-4771
Practice Address - Street 1:14343 BELLFLOWER BL
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-3135
Practice Address - Country:US
Practice Address - Phone:562-866-3727
Practice Address - Fax:562-804-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA199111223S0112X
CA257201223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9150701OtherDENTICAL