Adrienne Lei-Gwun Fang-Lalas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52386 Issued in CA

Practice address

27420 Tourney Rd
Ste. #280
Valencia, CA 91355-5601

Phone

(661) 253-0588

Fax

(661) 253-0486

NPI assigned

Feb 3, 2007

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Adrienne Lei-Gwun Fang Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Adrienne Fang,DDS, Prof Corp

  dba Adrienne Fang, DDS

  • General Practice Dentistry
  • West Hollywood, CA
  • NPI 1588930366
  NPD (past) Authorized official

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1356489975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 N VISTA ST",
            "address_2": "APT. #201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466642",
            "telephone_number": "818-795-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD",
            "address_2": "STE. #280",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555601",
            "telephone_number": "661-253-0588",
            "fax_number": "661-253-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG-LALAS",
        "first_name": "ADRIENNE",
        "middle_name": "LEI-GWUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "FANG",
            "middle_name": "LEI-GWUN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Selene Fade
• Faith Pharmacy Inc (Valencia Town Center Pharmacy)
• Denise Christine Fambo-Demarteau, PHD, MS, RAAP,VAIDYA
• Family Vision Care Optometry Inc
• Ya-Hui Fan, ACUPUNCTURIST
• Jaafar Farhat, PMHNP
• Donya Farmand
• Nicole Farr, DMD
• Emma Fazeli, B.A.
• Lawrence E Fealy, D.D.S.

• General Practice Dentistry in Valencia, CA
• Providers in Valencia, 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 Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.