Mimie Trang-Anh Nguyen DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

44971 Issued in CA

Legal business name

MIMIE TRANG-ANH NGUYEN DMD INC

Practice address

930 N Lake Ave
Pasadena, CA 91104-4517

Phone

(626) 791-5432

Fax

(626) 791-5431

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Trang-Anh Mimie Nguyen, DMD

Title

Owner

Phone

(626) 791-5432

Specialties & licenses 1

Addresses

Other names 1

• Lake Dental Office Doing business as

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1194781252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044517",
            "telephone_number": "626-791-5432",
            "fax_number": "626-791-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044517",
            "telephone_number": "626-791-5432",
            "fax_number": "626-791-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMIE TRANG-ANH NGUYEN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRANG-ANH",
        "authorized_official_middle_name": "MIMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-791-5432",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn D Millham, PH.D.
• Brittany Mills-Burch
• Evelina Mills, PSYD
• Stacia Erin Mills, M. D.
• Francesca Milton
• Kyung Eun Min, OD
• Sunyoung Min
• Minah Kim
• Melisa Mary Minassian, RPH
• Hayk Minasyan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.