Ely Marianne Lun-Chial, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

44016 Issued in CA

Practice address

10900 Warner Ave Ste 109
Fountain Valley, CA 92708-3846

Phone

(714) 963-5634

Fax

(714) 964-9344

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ely Marianne Lun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1619167392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 109",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-963-5634",
            "fax_number": "714-964-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 109",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-963-5634",
            "fax_number": "714-964-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUN-CHIAL",
        "first_name": "ELY",
        "middle_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELY",
            "last_name": "LUN",
            "middle_name": "MARIANNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Wittwer Ludlow, M.S.
• Jessica Zamora Lugo
• Debora Jean Luken, MFT
• Luly Home Health Inc.
• Luly Home Health Inc.
• Elaine Luna
• Lisa Gabriela Luna, CPO
• Luong Nguyen DMD Inc.
• Daniel T Luong
• Andy Luu, FNP

• Dentist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.