NPIMap

Organization Active NPI

Leong and Pandhoh Dental Corporation

Doing business as The Dental Office of Lakewood

  • General Practice Dentistry
  • Lakewood, CA
National Provider Identifier
1265082366
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEONG AND PANDHOH DENTAL CORPORATION
Doing business as
The Dental Office of Lakewood
Practice address
2710 Carson St
Lakewood, CA 90712-4051
Phone
(562) 275-8113
Fax
(562) 247-9830
NPI assigned
Sep 19, 2019
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Jessica L Leong, DDS
Title
Owner
Phone
(562) 275-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2710 Carson St
Lakewood, CA 90712-4051

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • The Dental Office of Lakewood Doing business as

National Provider Directory

National Provider Directory

Locations

2710 Carson St
Lakewood, CA 90712
Phone (408) 833-8869

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1265082366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 CARSON ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124051",
            "telephone_number": "562-275-8113",
            "fax_number": "562-247-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONG AND PANDHOH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-275-8113",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Office of Lakewood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Dental Office of Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.