Phong T. Tran DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45624 Issued in CA

Legal business name

PHONG T. TRAN DDS, INC

Practice address

4500 Rosemead Blvd Ste a
Pico Rivera, CA 90660-2081

Phone

(562) 692-9196

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phong Thai TranNPI 1467994798

Title

Ceo

Phone

(562) 692-9196

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Phong Tran, DDS

  • General Practice Dentistry
  • Pico Rivera, CA
  • NPI 1467994798
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1417171646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 ROSEMEAD BLVD STE A",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602081",
            "telephone_number": "562-692-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 ROSEMEAD BLVD STE A",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602081",
            "telephone_number": "562-692-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHONG T. TRAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "THAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-692-9196",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amberlyn Perez
• Martha Alexandra Perez, A.A
• Rodolcita C Perez, LVN
• Jessenia Yvette Perilla
• Cynthia Elizabeth Peters, LPT
• Pico Rivera Chiropractic and Sports Medicine (Premiere Chiropractic and Sports Medicine)
• Pico Rivera Community Medical Clinic Inc
• Pico Rivera Gardens
• Pico Rivera Healthcare LLC (Pico Rivera Healthcare Center)
• Pico Rivera Pharmacy Inc (Pico Rivera Pharmacy)

• General Practice Dentistry in Pico Rivera, CA
• Providers in Pico Rivera, 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 Jan 16, 2008; 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.