SON NGUYEN DDS (NPI# 1689074734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689074734 |
| Entity Type | Organization |
| Organization Name | SON NGUYEN DDS |
| Other Organization Name | LOTUS DENTAL SPECIALISTS |
| Practice Address |
730 East Valley Blvd San Gabriel CA 91776 |
| Practice Telephone | 6262865600 |
| Practice Fax Number | 6262865605 |
| Mailing Telephone | 6262865600 |
| Mailing Fax Number | 6262865605 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | DR. SON VAN NGUYEN (CEO) |
| Authorized Official Telephone | 6262865600 |
| Is Organization Subpart | Y |
| Parent Organization Name | SON NGUYEN DDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
43049 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | G90365-01 | 01 |
| Other Name | Type Code |
|---|---|
| LOTUS DENTAL SPECIALISTS | Doing Business As Name - Organization |
| Street Address |
730 EAST VALLEY BLVD |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1700340445 | Chaoshan Medical Center | Acupuncturist | 206 E. Las Tunas Drive, Suite 1, San Gabriel, CA 91776 | 2019-01-28 |
| 1730671694 | Anh Thoai Quach | Acupuncturist | 801 E Valley Blvd Ste 102, San Gabriel, CA 91776 | 2018-06-05 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1952828220 | Helena Lau | Pharmacist | 1512 Prospect Avenue, Apartment D, San Gabriel, CA 91776 | 2017-08-27 |
| 1154844876 | An An Tong Corporation | Acupuncturist | 150 S San Gabriel Blvd., San Gabriel, CA 91776 | 2017-07-25 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1114266574 | Jeremy Chen | Acupuncturist | 5200 N. Rosemead Blvd, San Gabriel, CA 91776 | 2013-02-05 |
| 1295002624 | Sun Hyung Kang | Dietitian, Registered | 438 West Las Tunas Drive, San Gabriel, CA 91776 | 2011-11-30 |
| Find all providers in zip 91776 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN GABRIEL |
| Zip Code | 91776 |
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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.