Audrey L Du, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47614 Issued in CA

Practice address

11230 Garvey Ave Ste H
El Monte, CA 91733-2475

Phone

(626) 401-1235

Fax

(626) 401-1239

NPI assigned

Mar 27, 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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1396863551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 GARVEY AVE STE H",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332475",
            "telephone_number": "626-401-1235",
            "fax_number": "626-401-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 GARVEY AVE STE H",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332475",
            "telephone_number": "626-401-1235",
            "fax_number": "626-401-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU",
        "first_name": "AUDREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Ashoks Medical Group Inc
• Dr Kolahi Dental Corp
• Dr. Mylinh Lam O.D, Inc
• Dr. Young Ho Cha, D.D.S. Corp
• Dr. Yu Chin Chiu Podiatry Corporation
• Sarah Shuhui Du
• Tien Thanh Du
• Tran Du, DDS
• Junyan Duan
• Jessica Lynne Dubron, M.S.

• General Practice Dentistry in El Monte, CA
• Providers in El Monte, 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 Nov 1, 2018; 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.