OrganizationActive
Jirawan Srivivatanakul D.D.S., Inc.
NPI 1265624399 · Dental Clinic/Center · Cerritos, CA
Provider details
- NPI number
- 1265624399
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jirawan Srivivatanakul, Dentist(562) 402-8899
- License
- 48771 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17360 Norwalk Blvd
Cerritos, CA 90703-2748
Phone: (562) 402-8899
Street-level locationGet directions
Mailing address
17360 Norwalk Blvd
Cerritos, CA 90703-2748
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2007-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.