Organization Active NPI

Quoc L. Nguyen, D.D.S. a Professional Dental Corporation

Doing business as Laguna Hills Oral Maxillofacial & Implant Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1093012494
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
59352 Issued in CA
Legal business name
QUOC L. NGUYEN, D.D.S. A PROFESSIONAL DENTAL CORPORATION
Doing business as
Laguna Hills Oral Maxillofacial & Implant Surgery
Practice address
24953 Paseo de Valencia
Ste 1 C
Laguna Hills, CA 92653-4394
Phone
(949) 768-4071
Fax
(949) 768-0292
NPI assigned
Feb 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Dr. Quoc Lap Nguyen, D.D.S.NPI 1083802003
Title
President
Phone
(949) 768-4071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 59352 CA Primary

Addresses

Primary practice location

24953 Paseo de Valencia
Ste 1 C
Laguna Hills, CA 92653-4394

Mailing address

24953 Paseo de Valencia
Ste 1 C
Laguna Hills, CA 92653-4394
Phone (949) 768-4071

Other names 1

  • Laguna Hills Oral Maxillofacial & Implant Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221000045 CA Part B Supplier - Clinic/Group Practice 6901087212 Receives reassigned benefits from 2 practitioners
Practice locations: Laguna Hills, CA; Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

24953 Paseo de Valencia
Ste 1C
Laguna Hills, CA 92653
Phone (949) 446-9325

24953 Paseo de Valencia
Ste 22B
Laguna Hills, CA 92653
Phone (949) 951-1066

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1093012494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "STE 1 C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534394",
            "telephone_number": "949-768-4071",
            "fax_number": "949-768-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "STE 1 C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534394",
            "telephone_number": "949-768-4071",
            "fax_number": "949-768-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUOC L. NGUYEN, D.D.S. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUOC",
        "authorized_official_middle_name": "LAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-768-4071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "59352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Hills Oral Maxillofacial & Implant Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.