Lan Pham DDS PHD Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LAN PHAM DDS PHD INC

Practice address

25209 Narbonne Ave
Lomita, CA 90717-2121

Phone

(310) 539-4166

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lan Pham, DDS, PHDNPI 1841748811

Title

President

Phone

(651) 235-0018

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lan Pham, DDS

  • Pediatric Dentistry
  • Lomita, CA
  • NPI 1841748811
  NPD Authorized official
• Marko Yacoub, DMD

  • Pediatric Dentistry
  • Lomita, CA
  • NPI 1891358172
  NPD
• Sonia Remolina Warren, D.D.S.

  • Pediatric Dentistry
  • Lomita, CA
  • NPI 1326158759
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1629672357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25209 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172121",
            "telephone_number": "651-235-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25209 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172121",
            "telephone_number": "310-539-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN PHAM DDS PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-235-0018",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle C Kirma, MSW, LCSW, BCD
• Lon Krock, M.D.
• Bona Sujin Kwak, RPH
• La Labs LLC
• Erin Lam, DDS
• Marty Jo Laudig, D.C.
• Bryan Omar Laureano
• Anhtuan Le, D.C.
• Stephen Leam
• Leo Jireh C Abelita DMD Inc

• Pediatric Dentistry in Lomita, CA
• Providers in Lomita, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.