MINDY TRIEU PHAN (NPI# 1609905850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609905850 |
| Entity Type | Individual |
| Full Name | MINDY TRIEU PHAN |
| Credential | D.M.D |
| Practice Address |
12042 Brookhurst St Garden Grove CA 92840-2815 |
| Practice Telephone | 7145399500 |
| Mailing Telephone | 7145399500 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D49392 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063996916 | Mindy Thanh Phan | Physician Assistant | 12302 Garden Grove Blvd Ste 7, Garden Grove, CA 92843-1833 | 2018-09-17 |
| Street Address |
12042 BROOKHURST ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861558207 | Dawna Phan & Mindy Phan A Professional Dental Corp. | Dentist | 12042 Brookhurst St, Garden Grove, CA 92840-2815 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010845 | Kideog Park | Dentist | 9618 Garden Grove Blvd Ste 208, Garden Grove, CA 92844-1566 | 2020-07-07 |
| 1053965707 | Elaine Khue Thai | Dentist | 14411 Brookhurst St Ste B, Garden Grove, CA 92843-4667 | 2019-07-31 |
| 1477918811 | S.s. Kim, D.d.s., Inc. | Dentist | 9800 Garden Grove Blvd, Garden Grove, CA 92844-1617 | 2015-12-30 |
| 1538534441 | Loc Q. Nguyen, Dmd, Inc | Dentist | 8342 Garden Grove Blvd Ste 1, Garden Grove, CA 92844-1151 | 2015-12-03 |
| 1932577665 | Bui Dental Corporation | Dentist | 10042 Lampson Ave Ste 101, Garden Grove, CA 92840-4703 | 2015-09-11 |
| 1568894186 | Hai Au Minh Doan | Dentist | 12651 Trask Ave, Garden Grove, CA 92843-3043 | 2013-08-06 |
| 1285987123 | Christine Thanh Mai Nguyen | Dentist | 10682 Sennit Ave, Garden Grove, CA 92843-5336 | 2012-10-16 |
| 1982904355 | Diaz Aguda and Dumulo General Partnership | Dentist | 13212 Harbor Blvd, Garden Grove, CA 92843-1737 | 2010-11-01 |
| 1326351966 | Ukjae Jung | Dentist | 10130 Garden Grove Blvd, 201, Garden Grove, CA 92844-1689 | 2010-07-25 |
| 1952546228 | Young Kiu Lim | Dentist | 8754 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2008-12-15 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.