Lien Kim Quach DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIEN KIM QUACH DDS INC

Doing business as

Quach Central Valley Dental

Practice address

1415 Brundage LN
Bakersfield, CA 93304-3114

Phone

(661) 323-0076

Fax

(661) 323-0277

NPI assigned

Oct 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daru Wardono

Title

Office Manager

Phone

(661) 323-0076

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quach Central Valley Dental Doing business as

Electronic endpoints 1

Tax ID family

Lien Kim Quach DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lien Kim Quach DDS Inc

  dba Quach Central Valley Dental

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1982358024
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1003578824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9579",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933899579",
            "telephone_number": "661-323-0076",
            "fax_number": "661-323-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933043114",
            "telephone_number": "661-323-0076",
            "fax_number": "661-323-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEN KIM QUACH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "WARDONO",
        "authorized_official_first_name": "DARU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-323-0076"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144318882",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1415 Brundage Ln",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933043114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Quach Central Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liborah Hospice
• Mayra Licano, LCSW
• Janelle Liceralde
• Kristen Alyce Lidgett
• Lauren Grace Lieder, P.T.
• Lien Kim Quach DDS Inc (Quach Central Valley Dental)
• Alan Lien, PA-C
• Julia Cass Liepmann, MS, PA-C
• Laylah Lievana
• Life Connections

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.