Organization Active NPI

Li & Nguyen Dental Corp

  • Dental Clinic/Center
  • West Covina, CA
National Provider Identifier
1750052965
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LI & NGUYEN DENTAL CORP
Practice address
2707 E Valley Blvd Ste 301
West Covina, CA 91792-3198
Phone
(909) 908-8905
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Jingjing LiNPI 1992944219
Title
Ceo
Phone
(909) 908-8905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2707 E Valley Blvd Ste 301
West Covina, CA 91792-3198

Mailing address

3333 S Brea Canyon Rd Ste 121
Diamond Bar, CA 91765-3783
Phone (909) 869-1098

National Provider Directory

National Provider Directory

Locations

2707 E Valley Blvd
Ste 301
West Covina, CA 91792
Phone (626) 435-1488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1750052965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BREA CANYON RD STE 121",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653783",
            "telephone_number": "909-869-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD STE 301",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923198",
            "telephone_number": "909-908-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI & NGUYEN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JINGJING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-908-8905"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.