Le Wen Ma, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110889 Issued in CA

Practice address

12214 Lakewood Blvd Ste 102
Downey, CA 90242-2663

Phone

(562) 670-2036

Fax

(562) 247-9788

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pessah Dental Corporation

  • Dentist
  • Downey, CA
  • NPI 1619528064
  NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1043039985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BOHLIG RD APT 48",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324342",
            "telephone_number": "626-500-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12214 LAKEWOOD BLVD STE 102",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422663",
            "telephone_number": "562-670-2036",
            "fax_number": "562-247-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LE WEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110889",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ly, PHARM D
• Ruth Kim Ly, PHARMD
• Tuan Minh Ly, DC.
• Ciara Janai Lyons-Ragains, RN
• M&B Transportation With Care Inc
• Mac Health Care Services Inc
• Monique Denise Leelin Macasaet, NP-C
• Renee Baguindoc Macdonnell, PTA
• Don Macfoy
• Tiffany Mach

• Dentist in Downey, CA
• Providers in Downey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.