4D Management Inc

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

4D MANAGEMENT INC

Doing business as

Cosmo Dental Specialists

Practice address

9202 Valley Blvd
Rosemead, CA 91770-1900

Phone

(626) 288-6050

NPI assigned

Mar 18, 2015

Last updated

Mar 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vivian Pham

Title

Manager

Phone

(714) 590-2210

Specialties & licenses 2

Addresses

Other names 1

• COSMO DENTAL SPECIALISTS Doing business as

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1407249204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16562 REDWOOD CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701900",
            "telephone_number": "626-288-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4D MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-590-2210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COSMO DENTAL SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthodontics in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.