Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336204866 Individual Practitioner Male Practitioner

Dr. Ronald Redoblado , DDS

Dentist - General Practice • Azusa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Redoblado, DDS is a registered healthcare professional specializing in Dentist - General Practice in Azusa, CA. Practice services are available at 29 MOUNTAIN LAUREL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29 Mountain Laurel Way

Azusa, CA 917026265

Telephone 6269059501

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Azusa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Azusa, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 51642

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 13, 2020

Registered at 29 MOUNTAIN LAUREL WAY, AZUSA, CA 917026265 (Tel: 6269059501)

📍
Updated Business Mailing Address January 13, 2020

Registered at 29 MOUNTAIN LAUREL WAY, AZUSA, CA 917026265

📍
Updated Practice Location November 06, 2019

Registered at 4816 E 3RD ST, LOS ANGELES, CA 900221602 (Tel: 2133807298)

📍
Updated Business Mailing Address November 06, 2019

Registered at 950 S GRAND AVE FL 2, LOS ANGELES, CA 900153999 (Tel: 3236694346)

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2013

Registered at 29 MOUNTAIN LAUREL WAY, AZUSA, CA 917026265 (Tel: 6269059501)

📍
Updated Business Mailing Address August 27, 2013

Registered at 29 MOUNTAIN LAUREL WAY, AZUSA, CA 917026265 (Tel: 6269059501)

👤
Provider Name / Credentials Updated August 27, 2013

Recorded as RONALD REDOBLADO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Dentist (License #51642 in CA)

🟢
Initial NPI Registration & Enumeration December 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336204866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: January 13, 2020
Sole Proprietor: Yes

Mailing Address

29 Mountain Laurel Way

Azusa, CA 917026265

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.