Christine Thuy Phan DMD Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHRISTINE THUY PHAN DMD DENTAL CORPORATION

Practice address

14221 Inglewood Ave
Hawthorne, CA 90250-6729

Phone

(310) 675-4929

NPI assigned

Mar 12, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine Thuy Phan, DMDNPI 1316907223

Title

Doctor

Phone

(310) 675-4929

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Christine Thuy-Anh Phan, DMD

  • General Practice Dentistry
  • Hawthorne, CA
  • NPI 1316907223
  NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1275169021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506729",
            "telephone_number": "310-675-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506729",
            "telephone_number": "310-675-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE THUY PHAN DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-675-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl a Greer Rdhap Inc
• Lucia Maria Chia, DDS
• Chidi Ugwueze (Hill King Medical Equipment Supply)
• Chipatlin Medical Concept
• Jennifer Chiu, M.D.
• Christopher Ryan LLC (ITS Integrated Therapy Solutions)
• Julius Enyeribe Chukwu, BSC.(HONS)
• Tina Timmy Chung, LCSW
• Joy Chunratanachai, LVN
• Donna Cicchesi, DPT

• Dental Clinic/Center in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.