Minh Phuong DO, D.M.D. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54411 Issued in CA

Legal business name

MINH PHUONG DO, D.M.D. INC.

Doing business as

DO Dental

Practice address

12923 Inglewood Ave
Suite 3
Hawthorne, CA 90250-5139

Phone

(310) 679-6464

Fax

(310) 679-6466

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Minh Phuong DO, D.M.D.

Title

President

Phone

(310) 679-6464

Specialties & licenses 1

Addresses

Other names 1

• DO DENTAL Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699886473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12923 INGLEWOOD AVE",
            "address_2": "SUITE 3",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505139",
            "telephone_number": "310-679-6464",
            "fax_number": "310-679-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12923 INGLEWOOD AVE",
            "address_2": "SUITE 3",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505139",
            "telephone_number": "310-679-6464",
            "fax_number": "310-679-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH PHUONG DO, D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-679-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DO DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christina Magdi Mikhail, DDS
• Molly Maureen Ming, PT, DPT
• Michael Mirliss
• Sabreana Mitchell
• Christina Marie Moine
• Molayem & Nattiv Dental Partnership (Polished Dental)
• Norma Adriana Monroy, P.A.

• General Practice Dentistry in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• General Practice Dentistry in California

• 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.