OrganizationActive
Licauco Tan Dental Corp
NPI 1952431033 · Dentist · La Palma, CA
Licauco Tan Dental Corp is a Dentist organization in La Palma, CA (NPI 1952431033).
Provider details
- NPI number
- 1952431033
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Cecile Licauco, President(714) 994-0888
- License
- 41314 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
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
19 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
30 Centerpointe Dr
Suite 10
La Palma, CA 90623-1055
Phone: (714) 994-0888
Fax: (714) 994-6038
Street-level locationGet directions
Mailing address
30 Centerpointe Dr
La Palma, CA 90623-1055
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Licauco Tan Dental Corp's NPI number?
- Licauco Tan Dental Corp's National Provider Identifier (NPI) is 1952431033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Licauco Tan Dental Corp?
- Licauco Tan Dental Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Licauco Tan Dental Corp located?
- Licauco Tan Dental Corp's practice location on file with NPPES is 30 Centerpointe Dr, La Palma, CA 90623-1055.
- What is Licauco Tan Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Licauco Tan Dental Corp is (714) 994-0888.
- Who is the authorized official for Licauco Tan Dental Corp?
- The authorized official listed on Licauco Tan Dental Corp's NPPES record is Cecile Licauco, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Licauco Tan Dental Corp's NPI active?
- Yes — Licauco Tan Dental Corp's NPI (1952431033) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.