NPIMap

Organization Active NPI

Harborfamilydental

  • Dental Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1205015377
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
38208 Issued in CA
Legal business name
HARBORFAMILYDENTAL
Practice address
13945 Harbor Blvd
Garden Grove, CA 92843-4012
Phone
(714) 554-7123
Fax
(714) 554-3273
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Lily A Namsinh, D.D.S.NPI 1811198476
Title
C.E.O.
Phone
(714) 554-7123

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
Dental Clinic/Center 261QD0000X 38208 CA Primary

Addresses

Primary practice location

13945 Harbor Blvd
Garden Grove, CA 92843-4012

Mailing address

13945 Harbor Blvd
Garden Grove, CA 92843-4012
Phone (714) 554-7123

National Provider Directory

National Provider Directory
Tax ID family
Harborfamilydental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13945 Harbor Blvd
Garden Grove, CA 92843
Phone (714) 554-7123

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1205015377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13945 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434012",
            "telephone_number": "714-554-7123",
            "fax_number": "714-554-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434012",
            "telephone_number": "714-554-7123",
            "fax_number": "714-554-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORFAMILYDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "NAMSINH",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "714-554-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.