Nam Phan, DMD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NAM PHAN, DMD, INC

Practice address

2634 Clarendon Ave
Huntington Park, CA 90255-4120

Phone

(323) 585-2777

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Hayrapetian

Title

Consultant

Phone

(818) 262-6114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pro Dentista Dental Group Doing business as

Locations

Practitioners 1

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

• Milagros A Loo, D.D.S

  • General Practice Dentistry
  • Baldwin Park, CA
  • NPI 1417140047
  NPD (past)

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1487976759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554120",
            "telephone_number": "323-585-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAM PHAN, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "HAYRAPETIAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "818-262-6114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881924298",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Dentista Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kanna Laura Munoz
• Maribel Munoz
• Michelle Murillo
• Gayle Mary Mykita, MD
• Edwin Ditoos Nahapatian
• Namki Chung, M.D. Inc.
• Amanda Narcisse
• Cory Michael Nasoff, DDS
• National Vision Inc
• Nationwide Urgent Care Inc.

• General Practice Dentistry in Huntington Park, CA
• Providers in Huntington Park, 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 Feb 26, 2010; 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.