Dr. Zhang's Dental Office

Primary specialty

DentistTaxonomy code 122300000X

License

50027 Issued in CA

Legal business name

DR. ZHANG'S DENTAL OFFICE

Practice address

2503 E Lakeshore Dr
Suite E
Lake Elsinore, CA 92530-4433

Phone

(951) 471-8979

Fax

(951) 471-3969

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By 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

Dr. Xuguang Zhang

Title

Owner

Phone

(951) 471-8979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1710178884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 E LAKESHORE DR",
            "address_2": "SUITE E",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304433",
            "telephone_number": "951-471-8979",
            "fax_number": "951-471-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E LAKESHORE DR",
            "address_2": "SUITE E",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304433",
            "telephone_number": "951-471-8979",
            "fax_number": "951-471-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ZHANG'S DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "XUGUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-471-8979",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Rusen Elsinore Friendly Smiles Dental Inc
• Dr. Annie Le OD Inc
• Dr. Javier Rios, a Medical Corporation (Lake Elsinore Clinica Medica Familiar)
• Dr. Javier Rios, a Medical Corporation (Mission Trail Clinica Medica Familiar)
• Dr. Jimmy Phan Medical Corporation (Lake ELsinore Pediatrics)
• Dunn Rite Recovery
• Noemie Galang Dyer, RPH
• Blake Eddow, PT
• Jennifer Edquist, RN, MSN, PHN, SNSC
• Valerie Michelle Eichelberg, LMFT

• Dentist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.