DR. JUSTIN SRITHONGRUNG (NPI# 1629430442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629430442 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN SRITHONGRUNG |
| Credential | DDS |
| Practice Address |
2030 S Baldwin Ave Arcadia CA 91007-8155 |
| Practice Telephone | 6265518355 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DDS101888 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS101888 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 290 N Wayte Ln Ste 2500, Fresno, CA 937012124 | 5594595725 |
| Street Address |
2030 S BALDWIN AVE |
| City | ARCADIA |
| State | CA |
| Zip Code | 91007-8155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174504 | Ying Zhang | Nurse Practitioner | 301 Huntington Dr., Suite 607, Arcadia, CA 91007 | 2018-11-26 |
| 1891287819 | Sunflower Tcm Health Center | Acupuncturist | 650 Weat Duarte Road, # 168, Arcadia, CA 91007 | 2018-06-05 |
| 1326537911 | Natural Health Care Inc | Clinic/Center | 1434 S Baldwin Ave, Arcadia, CA 91007 | 2018-05-09 |
| 1720590458 | Shokoofeh Namiranian | Pharmacist | 745 E. Naomi Ave, Arcadia, CA 91007 | 2017-11-03 |
| 1164897351 | The One Dental Specialty Center Inc | Dentist | 1245 W. Huntington Drive, #207, Arcadia, CA 91007 | 2015-12-14 |
| 1366815771 | Jackie Liang Zhang Sr. | Acupuncturist | 650 West Duarte Road, # 168, Arcadia, CA 91007 | 2015-11-06 |
| 1811379365 | Michael Bastani | Podiatrist | 289 W Huntington Dr Ste 204, Arcadia, CA 91007 | 2015-06-22 |
| 1740661776 | Albert Tsuyuan Wang | Emergency Medicine | 531 Magellan Rd, Arcadia, CA 91007 | 2015-06-16 |
| 1740678176 | Karina Herrera | Behavioral Analyst | 444 W. Huntington Dr., #211, Arcadia, CA 91007 | 2015-01-08 |
| 1356751614 | H-light Global Inc | Acupuncturist | 1245 W Huntington Dr #212, Arcadia, CA 91007 | 2014-05-07 |
| Find all providers in zip 91007 | ||||
| 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 |
|---|---|---|---|---|
| 1104423698 | Elleen Myre Zoleta Agustin | Dentist | 103 Las Tunas Dr, Arcadia, CA 91007-8550 | 2020-10-07 |
| 1275169815 | Michael Sitai Nguyen | Dentist | 757 Carriage House Dr, Arcadia, CA 91006-2041 | 2020-03-16 |
| 1437661865 | Richard T Chu | Dentist | 413 W Longden Ave, Arcadia, CA 91007-8128 | 2017-10-25 |
| 1194266213 | Zhengzheng Sun | Dentist | 221 S 1st Ave, Arcadia, CA 91006-3608 | 2017-03-09 |
| 1912455262 | Matthew Tzu-yih Chang | Dentist | 881 W Foothill Blvd, Arcadia, CA 91006-2035 | 2016-09-15 |
| 1487084752 | Chen-kai Lin | Dentist | 165 W Magna Vista Ave, Arcadia, CA 91007-4029 | 2013-11-22 |
| 1386086437 | Ling Zhang | Dentist | 746 W Huntington Dr Unit B, Arcadia, CA 91007-1324 | 2013-07-17 |
| 1043578180 | Brian Yo-ming Kuo | Dentist | 118 Las Tunas Dr, D, Arcadia, CA 91007-8584 | 2012-04-26 |
| 1225305279 | Arcadia Dental Center | Dentist | 310 S Nelson Dr, Suite C, Arcadia, WI 54612-1897 | 2011-11-18 |
| 1114208196 | Jonathan Yuchiang Hsu | Dentist | 1088 El Sur Ave, Arcadia, CA 91006-4529 | 2011-09-02 |
| Find all providers in ARCADIA | ||||
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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.