Active NPI
Lovinger, Kim, & Khzouz Dental Corporation
- Dentist
- Fullerton, CA
National Provider Identifier
1114454287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- LOVINGER, KIM, & KHZOUZ DENTAL CORPORATION
- Doing business as
- Golden Age Dental Care
- Practice address
- 701 S Raymond Ave Ste 4B
Fullerton, CA 92831-5201 - Phone
- (714) 992-2999
- NPI assigned
- May 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Aaron Lovinger, DA
- Title
- Owner
- Phone
- (847) 778-9527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
701 S Raymond Ave Ste 4B
Fullerton, CA 92831-5201
Mailing address
701 S Raymond Ave Ste 4B
Fullerton, CA 92831-5201
Phone (714) 992-2999
Other names 1
- Golden Age Dental Care
National Provider Directory
National Provider DirectoryLocations
701 S Raymond Ave
Ste 4B
Fullerton, CA 92831
Phone (714) 732-8470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114454287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S RAYMOND AVE STE 4B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928315201",
"telephone_number": "714-992-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S RAYMOND AVE STE 4B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928315201",
"telephone_number": "714-992-2999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVINGER, KIM, & KHZOUZ DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LOVINGER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-778-9527",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DA"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Age Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.