SEOK HWAN SON DDS INC (NPI# 1740791060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740791060 |
Entity Type | Organization |
Organization Name | SEOK HWAN SON DDS INC |
Other Organization Name | ANAHEIM DENTAL GROUP |
Practice Address |
40 E Orangethorpe Ave Anaheim CA 92801-1206 |
Practice Telephone | (213) 453-4368 |
Practice Fax Number | 7142818200 |
Mailing Telephone | 2134534368 |
Mailing Fax Number | 7142818200 |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-11-29 |
Authorized Official Name | SEOK HWAN SON (CEO) |
Authorized Official Telephone | 7148706611 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
52471 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | INDIVIDUAL NPI | 1366654832 | 01 |
Other Name | Type Code |
---|---|
Anaheim Dental Group | Doing Business As Name - Organization |
Street Address |
40 E ORANGETHORPE AVE |
City | ANAHEIM |
State | CA |
Zip Code | 92801-1206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366654832 | Seok Hwan Son | Dentist | 40 E Orangethorpe Ave, Anaheim, CA 92801-1206 | 2007-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
Find all providers in zip 92801 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518424068 | Hjkim Dds, Inc. | Dentist | 1120 N Brookhurst St, Anaheim, CA 92801-1702 | 2019-02-20 |
1104397538 | Union Dental Group Anaheim Inc | Dentist | 434 S Euclid St Ste 100, Anaheim, CA 92802-1247 | 2018-12-11 |
1407325392 | Michael P Blum Dds A Professional Corporation | Dentist | 1211 W La Palma Ave Ste. 604, Anaheim, CA 92801-9280 | 2018-11-20 |
1508343476 | P Kansagra Dds Inc | Dentist | 8285 E Santa Ana Canyon Rd Ste 115, Anaheim, CA 92808-2250 | 2018-07-24 |
1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
1487980819 | Hung Le | Dentist | 408 S Beach Blvd, Suite 107, Anaheim, CA 92804-1853 | 2009-10-20 |
1346430279 | David Bell | Dentist | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2007-07-26 |
1811193105 | Martin Sewall | Dentist | 3010 W Orange Ave, Suite 203, Anaheim, CA 92804-3169 | 2007-06-22 |
1568510964 | Steven D Darmstadt | Dentist | 1801 W Romneya Dr, Suite 408, Anaheim, CA 92801-1830 | 2007-01-08 |
1003976994 | Michael P Blum | Dentist | 1211 W La Palma Ave, Suite 604, Anaheim, CA 92801-2815 | 2006-12-11 |
Find all providers in ANAHEIM |
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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.