DR. PHONG LU (NPI# 1609986686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609986686 |
| Entity Type | Individual |
| Full Name | DR. PHONG LU |
| Credential | DDS |
| Practice Address |
420 S Glendora Ave West Covina CA 91790-3001 |
| Mailing Address |
1000 Vale Terrace Dr Vista CA 92084-5218 |
| Practice Telephone | 6269195724 |
| Mailing Telephone | 7606315000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47518 | CA | Dental Providers |
| Street Address |
420 S GLENDORA AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477505014 | Kimberly Jean Amato | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2006-05-16 |
| 1619469335 | Sarah Burton | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2018-05-30 |
| 1306341797 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2018-03-27 |
| 1073026324 | Crystal Ortiz | Dietitian, Registered | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2017-11-08 |
| 1083126403 | Gina M Liang | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2017-10-25 |
| 1285007302 | Magda Ulloa | Registered Nurse | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-11-11 |
| 1760851752 | Arlene Guzman | Counselor | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-09-19 |
| 1750766812 | Claudia Pineda | Social Worker | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-07-29 |
| 1396128690 | Charlene Schultz | Physician Assistant | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-07-04 |
| 1962884973 | Cheryl Alegria | Counselor | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1932754413 | Claudia Camacho | Dentist | 2700 E Workman Ave, West Covina, CA 91791-6625 | 2019-08-02 |
| 1801363445 | Om Atul Suchak | Dentist | 910 S Sunset Ave Ste 3, West Covina, CA 91790-3409 | 2018-11-01 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1497295323 | Marissa Dykes | Dentist | 450 S Glendora Ave Ste 106, West Covina, CA 91790-3068 | 2017-02-24 |
| 1245630474 | Pearl Dentistry | Dentist | 1414 S Azusa Ave Ste B-10, West Covina, CA 91791-4088 | 2014-08-25 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1679982094 | Michael Hy Buu Ma | Dentist | 1208 W Francisquito Ave Ste E, West Covina, CA 91790-4781 | 2014-08-11 |
| 1770995920 | Armond Sarkisian Dds Inc | Dentist | 1024 S Glendora Ave, West Covina, CA 91790-4920 | 2014-05-22 |
| 1922329721 | Jason Hsieh | Dentist | 1036 S Willow Ave, West Covina, CA 91790-2548 | 2010-06-15 |
| 1386963056 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 1208 W Francisquito Ave, Unit E, West Covina, CA 91790-4780 | 2010-05-20 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.