KWON DENTAL PRACTICE ANAHEIM, INC (NPI# 1962962811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962962811 |
| Entity Type | Organization |
| Organization Name | KWON DENTAL PRACTICE ANAHEIM, INC |
| Practice Address |
10500 Magnolia Ave Ste A1 Anaheim CA 92804-8805 |
| Mailing Address |
25920 Iris Ave Ste 14a Moreno Valley CA 92551-1658 |
| Practice Telephone | 9497933391 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | MR. CHANG HUN KWON (PRESIDENT) |
| Authorized Official Telephone | 9497933391 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
10500 MAGNOLIA AVE STE A1 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1558984138 | Chi Kieu Nguyen | Dentist | 1000 S Anaheim Blvd Ste 103, Anaheim, CA 92805-5802 | 2020-05-18 |
| 1609433978 | Victor R. Camones Dds Inc | Dentist | 2785 W Ball Rd, Anaheim, CA 92804-5029 | 2019-05-22 |
| 1063974244 | Ardalan Dental Group Corp | Dentist | 250 W Lincoln Ave, Anaheim, CA 92805-2903 | 2019-04-05 |
| 1639657596 | Monique Sison | Dentist | 2500 W Lincoln Ave Ste 2, Anaheim, CA 92801-6421 | 2018-08-02 |
| 1639657877 | Christina Chi | Dentist | 5731 E Santa Ana Canyon Rd Ste A, Anaheim, CA 92807-3234 | 2018-07-31 |
| 1558867473 | Ellie Parajon-aflatoon | Dentist | 10500 Magnolia Ave Ste A1a1, Anaheim, CA 92804-5817 | 2018-03-30 |
| 1144736125 | Jun Cheong Dds, Incorporation | Dentist | 1007 W La Palma Ave Ste 3, Anaheim, CA 92801-3620 | 2017-12-28 |
| 1477088581 | Miguel Aramburu | Dentist | 2601 W Ball Rd Ste 101, Anaheim, CA 92804-8016 | 2017-04-26 |
| 1568819613 | V.mai Dds Inc | Dentist | 922 S Euclid St, Anaheim, CA 92802-1523 | 2016-05-18 |
| 1841655628 | Maria H Lima & Raheleh R Pourtemour Dds, Inc | Dentist | 1098 N State College Blvd Ste A, Anaheim, CA 92806-2701 | 2015-12-22 |
| 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.