Phuong Bich Lam D.D.S, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49921 Issued in CA

Legal business name

PHUONG BICH LAM D.D.S, INC

Practice address

12920 S Figueroa St Ste a
Los Angeles, CA 90061-1135

Phone

(310) 323-2629

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Phuong Bich Lam, DDS

Title

Dentist

Phone

(310) 323-2629

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1669988945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 S FIGUEROA ST STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900611135",
            "telephone_number": "310-323-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 S FIGUEROA ST STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900611135",
            "telephone_number": "310-323-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG BICH LAM D.D.S, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "BICH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-323-2629",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.