Long Ngoc Phan, DMD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LONG NGOC PHAN, DMD, INC

Practice address

40986 California Oaks Rd
Murrieta, CA 92562-5747

Phone

(951) 304-3044

Fax

(951) 304-3285

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Long N Phan, DMDNPI 1265593859

Title

Owner

Phone

(951) 304-3044

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Long N Phan, DMD

  • Dentist
  • Murrieta, CA
  • NPI 1265593859
  NPD (past) Authorized official

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1295921062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40986 CALIFORNIA OAKS RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625747",
            "telephone_number": "951-304-3044",
            "fax_number": "951-304-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40986 CALIFORNIA OAKS RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625747",
            "telephone_number": "951-304-3044",
            "fax_number": "951-304-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG NGOC PHAN, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LONG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-304-3044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loma Linda University Pathology Medical Group, Inc.
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• Loma Linda Vamc
• Destiny Loney
• Long Life Nutrition Inc
• Khalil Long
• Longs Drug Stores California LLC
• Jenina Lontok, LCSW
• Marilen Loo, NP-BC
• Rachel Lopes, LMFT

• General Practice Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.