Lydia M Pak, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

51122 Issued in CA

Practice address

3640 Lomita Blvd Ste 307
Torrance, CA 90505-3960

Phone

(424) 390-4036

Fax

(424) 390-4028

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Min Suk Chang,D.D.S.Inc

  • Dental Clinic/Center
  • Torrance, CA
  • NPI 1427257344
  NPD (past)
• Philip Chang DDS Dental Corporation

  • Dental Clinic/Center
  • Torrance, CA
  • NPI 1245870765
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1306030200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 207",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053954",
            "telephone_number": "310-791-7108",
            "fax_number": "310-791-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053960",
            "telephone_number": "424-390-4036",
            "fax_number": "424-390-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "LYDIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain and Rehabilitation Medical Group, a Medical Corporation
• Pain Relief Surgery Center of Torrance, LLC
• Allison Paine
• Olivia Painter
• Christopher Paiz, MD
• Michael Ahmad Paksima, OTC
• Daisy Palafox
• Allison Palaniuk, M.A., CCC-SLP
• Janeth Berenice Palencia, RBT
• Ann L Palik, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.