Provider Demographics
NPI:1659466993
Name:SCHIAVONE, GIOVANNI LOUIE (DDS)
Entity type:Individual
Prefix:DR
First Name:GIOVANNI
Middle Name:LOUIE
Last Name:SCHIAVONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:LOUIS
Other - Last Name:SCHIAVONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:15300 DEVONSHIRE ST
Mailing Address - Street 2:SUITE #6
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2781
Mailing Address - Country:US
Mailing Address - Phone:818-894-6411
Mailing Address - Fax:818-830-5283
Practice Address - Street 1:15300 DEVONSHIRE ST
Practice Address - Street 2:SUITE #6
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2781
Practice Address - Country:US
Practice Address - Phone:818-894-6411
Practice Address - Fax:818-830-5283
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA243361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice