Cindy Chung Batac, DDS
Individual provider Active NPI Dentist · La Puente, CA
NPI 1497572408 · NPPES record last updated Sep 21, 2024
Key facts
- NPI
- 1497572408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 110545 (CA)
- Practice address
- 14101 Nelson Ave
La Puente, CA 91746-2640 - Phone
- (626) 688-6407
- NPI assigned
- Sep 21, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110545 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Gabriel Valley Foundation for Dental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 110545 | CA | Yes |
Addresses
Primary practice location
14101 Nelson Ave
La Puente, CA 91746-2640
Mailing address
148 S McCarty Dr Apt 18
Beverly Hills, CA 90212-4095
Phone (626) 202-8026
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.