NPIMap

Organization Active NPI

Jerry Tzou DDS a Professional Dental Corporation

  • Preferred Provider Organization
  • Monterey Park, CA
National Provider Identifier
1588069405
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
36845 Issued in CA
Legal business name
JERRY TZOU DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
809 S Atlantic Blvd Ste 308
Monterey Park, CA 91754-4758
Phone
(626) 282-5577
Fax
(888) 747-9654
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Jerry Tzou, DDSNPI 1700089364
Title
President
Phone
(626) 282-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 36845 CA Primary

Addresses

Primary practice location

809 S Atlantic Blvd Ste 308
Monterey Park, CA 91754-4758

Mailing address

809 S Atlantic Blvd Ste 308
Monterey Park, CA 91754-4758
Phone (626) 282-5577

National Provider Directory

National Provider Directory

Locations

809 S Atlantic Blvd
Ste 308
Monterey Park, CA 91754
Phone (626) 282-5577

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1588069405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S ATLANTIC BLVD STE 308",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544758",
            "telephone_number": "626-282-5577",
            "fax_number": "888-747-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S ATLANTIC BLVD STE 308",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544758",
            "telephone_number": "626-282-5577",
            "fax_number": "888-747-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY TZOU DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "TZOU",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-282-5577",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "36845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.