SOKBUNNTHA YAN (NPI# 1083215982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083215982 |
| Entity Type | Individual |
| Full Name | SOKBUNNTHA YAN |
| Credential | R.D.H.A.P |
| Practice Address |
5810 Fidler Ave Lakewood CA 90712-1251 |
| Practice Telephone | 5622356403 |
| Mailing Telephone | 5622356403 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 30940 | CA | Dental Providers |
| Street Address |
5810 FIDLER AVE |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1114431582 | Angelina Rodriquez | Dental Hygienist | 1200 S Wadsworth Blvd Ste 200, Lakewood, CO 80232-5434 | 2017-11-21 |
| 1477062560 | Candra Thomas | Dental Hygienist | 8101 83rd Ave Sw Apt D33, Lakewood, WA 98498-7602 | 2017-09-21 |
| 1730606534 | Mqm Consulting, LLC | Dental Hygienist | 407 Garland St, Lakewood, CO 80226-1062 | 2017-08-23 |
| 1073040028 | Tiffany Jene Schroeder | Dental Hygienist | 255 Union Blvd Ste 410, Lakewood, CO 80228-1852 | 2017-05-20 |
| 1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
| 1932532223 | Patricia Andres Meller | Dental Hygienist | 5622 Montair Ave, Lakewood, CA 90712-2051 | 2013-08-09 |
| 1154692051 | Brandon D Visscher Dmd Pllc | Dental Hygienist | 1726 Cole Blvd, Suite 140, Lakewood, CO 80401-3213 | 2012-01-24 |
| 1376746792 | Pierce College | Dental Hygienist | 9401 Farwest Drive Sw, Lakewood, WA 98498-1999 | 2007-06-06 |
| 1386708378 | Stacey Lee Bisenius | Dental Hygienist | 15397 State Hwy 32, Lakewood, WI 54138 | 2006-12-21 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.