Organization Active NPI

Edward H. Luong, DMD, Inc.

  • General Practice Dentistry
  • Los Alamitos, CA
National Provider Identifier
1306109913
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54800 Issued in CA
Legal business name
EDWARD H. LUONG, DMD, INC.
Practice address
3551 Farquhar Ave Ste 103
Los Alamitos, CA 90720-2003
Phone
(562) 596-1655
Fax
(562) 799-9599
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Edward Hung Luong, DMDNPI 1801064597
Title
President
Phone
(562) 596-1655

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
General Practice Dentistry 1223G0001X 54800 CA Primary

Addresses

Primary practice location

3551 Farquhar Ave Ste 103
Los Alamitos, CA 90720-2003

Mailing address

3551 Farquhar Ave Ste 103
Los Alamitos, CA 90720-2003
Phone (562) 596-1655

National Provider Directory

National Provider Directory

Locations

3551 Farquhar Ave
Ste 103
Los Alamitos, CA 90720
Phone (562) 596-1655

Practitioners & affiliated clinicians

Practitioners 2

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1306109913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FARQUHAR AVE STE 103",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202003",
            "telephone_number": "562-596-1655",
            "fax_number": "562-799-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FARQUHAR AVE STE 103",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202003",
            "telephone_number": "562-596-1655",
            "fax_number": "562-799-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H. LUONG, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-596-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.