Khanh V. Nguyen, DDS, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

53019 Issued in CA

Legal business name

KHANH V. NGUYEN, DDS, INC.

Practice address

3570 4TH Ave
San Diego, CA 92103-4940

Phone

(619) 298-8315

Fax

(619) 298-4175

NPI assigned

May 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Khanh V Nguyen, DDS, MSD

Title

President

Phone

(714) 473-5479

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1619295201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034940",
            "telephone_number": "619-298-8315",
            "fax_number": "619-298-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034940",
            "telephone_number": "619-298-8315",
            "fax_number": "619-298-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANH V. NGUYEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-473-5479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parham Khanbolooki, M.D.
• Trishala Bijoy Khandheria, AMFT
• Khang Van Tran M.D., Inc.
• Khanh L. Nguyen, M.D. PA
• Khanh Pharmacy
• Mahtaab Khanjari, LMFT 143442
• Arjun Ramesh Khanna, MD
• Gaurav Khanna, MD
• Paritosh C Khanna, MD
• Poornima Khanna, M.D.

• Periodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.