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

Mr. Jose Daniel De Jesus

Individual provider Dental Assistant · NPI 1639400609

Mr. Jose Daniel De Jesus is a Dental Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010

Practice location Address checks out

12121 Wilshire Blvd
Los Angeles, CA 90025-1123
Phone: (310) 820-9933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 74403 (CA)

Record details

NPI number1639400609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2010
Last updated in NPPESJanuary 14, 2010

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