Bardi-Sagong Dental Corporation

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

BARDI-SAGONG DENTAL CORPORATION

Practice address

4241 Long Beach Blvd
Long Beach, CA 90807-2003

Phone

(562) 612-4320

Fax

(562) 612-4203

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Lisa Kung

Title

Manager

Phone

(310) 780-5278

Specialties & licenses 1

Addresses

Other names 1

• RootVision Endo Doing business as

Locations

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1174352702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072003",
            "telephone_number": "562-612-4320",
            "fax_number": "562-612-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072003",
            "telephone_number": "562-612-4320",
            "fax_number": "562-612-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDI-SAGONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-780-5278"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RootVision Endo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joselyn Barboza, PTA
• Jonna Barcelona
• Stephanie Michelle Barcenas
• Tristan Miguel Barcenas
• Margot Barclay
• Fariba Bardi, D.C.
• Cynthia Q. Barger, N.P.
• Bariatric Institute, Apc
• Kehinde Barika
• Molly Joanna Baril

• Endodontics in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.