Provider Demographics
NPI:1568987857
Name:MONCADA, CLAUDIA LORENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:LORENA
Last Name:MONCADA
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 1:26021 REED WAY
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3889
Mailing Address - Country:US
Mailing Address - Phone:305-725-3404
Mailing Address - Fax:
Practice Address - Street 1:5601 W HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5136
Practice Address - Country:US
Practice Address - Phone:559-635-7186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101743122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist