Organization Active NPI

Isaac Chen Dental Practice Inc.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1952458887
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36069 Issued in CA
Legal business name
ISAAC CHEN DENTAL PRACTICE INC.
Doing business as
East Los Angeles Family Dentistry
Practice address
4410 Whittier Blvd
Los Angeles, CA 90022-1531
Phone
(323) 881-0881
Fax
(323) 881-0800
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Isaac Chen, D.D.S.
Title
President
Phone
(626) 574-9750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 36069 CA Primary

Addresses

Primary practice location

4410 Whittier Blvd
Los Angeles, CA 90022-1531

Mailing address

4410 Whittier Blvd
Los Angeles, CA 90022-1531
Phone (323) 881-0881

Other names 1

  • East Los Angeles Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4410 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 881-0881

Practitioners & affiliated clinicians

Practitioners 2

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1952458887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221531",
            "telephone_number": "323-881-0881",
            "fax_number": "323-881-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221531",
            "telephone_number": "323-881-0881",
            "fax_number": "323-881-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC CHEN DENTAL PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-574-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Los Angeles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.