Provider Demographics
NPI:1316091556
Name:ZAPANTA, LOUELLA BANGSIL (DMD)
Entity type:Individual
Prefix:DR
First Name:LOUELLA
Middle Name:BANGSIL
Last Name:ZAPANTA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LOUELLA
Other - Middle Name:YUSI
Other - Last Name:BANGSIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:PO BOX 6006
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-0006
Mailing Address - Country:US
Mailing Address - Phone:562-595-4277
Mailing Address - Fax:
Practice Address - Street 1:722 W WILLOW ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2835
Practice Address - Country:US
Practice Address - Phone:562-595-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA358371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice