Fu Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47620 Issued in CA

Legal business name

FU DENTAL CORP

Practice address

6552 Bolsa Ave Ste J
Huntington Beach, CA 92647-2656

Phone

(714) 540-8547

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nina X Yu, DDS

Title

Officier

Phone

(714) 540-8547

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1942321476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE J",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-540-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE J",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-540-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FU DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OFFICIER",
        "authorized_official_telephone_number": "714-540-8547",
        "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": "47620",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friedman Professional Management Co (Four Seasons Surgery Centers of Huntington Beach)
• Sylva Frock, PHD
• Patrick Richard Frohn, A.T.,C
• FTF Pharmacy Corporation (Beach Professional Pharmacy)
• FTF Pharmacy Corporation (Beach Professional Pharmacy)
• Jason Fu, DDS
• Mei-CHI Fu, O.M.D.
• Jessica Fuentes
• Oscar Fuentes
• Lindsay Rose Fullam, OD

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, 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 Sep 18, 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.