Organization Active NPI

Andrew Le Nguyen DDS Dental Corporation

Doing business as Aloha Family Dentistry

  • Dentist
  • Pomona, CA
National Provider Identifier
1568995801
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65334 Issued in CA
Legal business name
ANDREW LE NGUYEN DDS DENTAL CORPORATION
Doing business as
Aloha Family Dentistry
Practice address
1220 N Park Ave
Pomona, CA 91768-3029
Phone
(909) 397-9791
Fax
(909) 397-9792
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Andrew Le Nguyen, D.D.S
Title
Doctor
Phone
(562) 544-1775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 65334 CA Primary

Addresses

Primary practice location

1220 N Park Ave
Pomona, CA 91768-3029

Mailing address

1220 N Park Ave
Pomona, CA 91768-3029
Phone (909) 397-9791

Other names 1

  • Aloha Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1568995801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683029",
            "telephone_number": "909-397-9791",
            "fax_number": "909-397-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683029",
            "telephone_number": "909-397-9791",
            "fax_number": "909-397-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW LE NGUYEN DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "562-544-1775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "65334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.