NPIMap

Organization Active NPI

Los Angeles Dental Office

  • Dentist
  • La Puente, CA
National Provider Identifier
1609978055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52421 Issued in CA
Legal business name
LOS ANGELES DENTAL OFFICE
Practice address
13704 E Anar Rd
La Puente, CA 91746
Phone
(626) 917-3088
Fax
(626) 917-9333
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Xuan Liu, DDS PHD MS
Title
Dentist Owner
Phone
(626) 917-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52421 CA Primary

Addresses

Primary practice location

13704 E Anar Rd
La Puente, CA 91746

Mailing address

13704 E Anar Rd
La Puente, CA 91476
Phone (626) 917-3088

Other names 1

  • Xuan Liu DDS PHD DS Of Sunli Zharnd Med Corporation Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Los Angeles Dental Office2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609978055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13704 E ANAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91476",
            "telephone_number": "626-917-3088",
            "fax_number": "626-917-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13704 E ANAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91746",
            "telephone_number": "626-917-3088",
            "fax_number": "626-917-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "XUAN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "626-917-3088",
        "authorized_official_credential": "DDS PHD MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xuan Liu DDS PHD DS Of Sunli Zharnd Med Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.