Organization Active NPI

La Pearl LLC

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1891429643
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LA PEARL LLC
Practice address
10120 Garden Grove Blvd Ste 151-157
Garden Grove, CA 92844-1687
Phone
(714) 909-4738
NPI assigned
Jul 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Tuan Quangquy Le, DENTISTNPI 1396499273
Title
Owner
Phone
(714) 909-4738

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10120 Garden Grove Blvd Ste 151-157
Garden Grove, CA 92844-1687

Mailing address

12221 Homestead PL
Garden Grove, CA 92840-5718
Phone (714) 909-4738

National Provider Directory

National Provider Directory

Locations

10120 Garden Grove Blvd
Ste 151157
Garden Grove, CA 92844
Phone (714) 909-4738

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": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1891429643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 HOMESTEAD PL",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405718",
            "telephone_number": "714-909-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 GARDEN GROVE BLVD STE 151-157",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441687",
            "telephone_number": "714-909-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PEARL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "QUANGQUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-909-4738",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.