Dich Lu DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DICH LU DDS INC

Practice address

3620 S Bristol St Ste 103
Santa Ana, CA 92704-7314

Phone

(714) 432-0979

Fax

(714) 432-1279

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dich Lu

Title

Owner

Phone

(714) 432-0979

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Leyla Fazeli, DMD

  • Dentist
  • Santa Ana, CA
  • NPI 1295957496
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1326712258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST STE 103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047314",
            "telephone_number": "714-432-0979",
            "fax_number": "714-432-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST STE 103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047314",
            "telephone_number": "714-432-0979",
            "fax_number": "714-432-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICH LU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "DICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-432-0979",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467740076",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@healthysmilesdc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3620 S Bristol St Ste 103",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927047314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seima Said Rafidi Diaz, MACP
• Sergio Diaz
• Stephanie Diane Diaz
• Ximena Diaz
• Yanete Diaz
• Susan Dickerson
• Linda Lee Dickey
• Agnes C. Dickson, PSYCHOLOGIST
• Dolores Aurora Dickson
• Sharon Lea Dickson, MSW.,LCSW

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Aug 24, 2021; 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.