Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jirawan Srivivatanakul DDS, Inc

Organization Dental Clinic/Center · NPI 1265624399

Jirawan Srivivatanakul DDS, Inc is a Dental Clinic/Center in Cerritos, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17360 Norwalk Blvd
Cerritos, CA 90703-2748
Phone: (562) 402-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 48771 (CA)

Record details

NPI number1265624399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jirawan Srivivatanakul — Dentist · (562) 402-8899
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007
Mailing address17360 Norwalk Blvd, Cerritos, CA 90703-2748

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