Huy B. Phan Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46322 Issued in CA

Legal business name

HUY B. PHAN DENTAL CORPORATION

Practice address

3351 Tyler Ave
El Monte, CA 91731-3101

Phone

(626) 279-5371

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Huy Phan, DDSNPI 1598976029

Title

President

Phone

(626) 758-0462

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Huy Bao Phan

  • Dentist
  • El Monte, CA
  • NPI 1598976029
  NPD (past) Authorized official
• Khanh Ly, DDS

  • Dentist
  • El Monte, CA
  • NPI 1528279718
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1912041872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 PALOMA DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313101",
            "telephone_number": "626-279-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUY B. PHAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-758-0462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "G93443-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Hung
• Hsiao Jo Hung
• William Hung
• Huntington Park Clinica Medica General, Medical Center, Inc
• Huntington Park Clinica Medica General, Medical Center, Inc
• Kyu Sup Hwang
• Keelyanne Kernan Hyland, LCSW
• Grace Hyon, RN
• Brigitte Ibarra
• Desirae Marie Ibarra, LPT

• General Practice Dentistry in El Monte, CA
• Providers in El Monte, 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 6, 2014; 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.