DJ Dental Lab Inc

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

DJ DENTAL LAB INC

Practice address

700 N Valley St Ste F-G
Anaheim, CA 92801-3824

Phone

(714) 502-0900

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

Janice Park

Title

Admin

Phone

(714) 337-4410

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Young Dong Chung

  • Dental Laboratory Technician
  • Anaheim, CA
  • NPI 1154819464
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1982192290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N VALLEY ST STE F-G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N VALLEY ST STE F-G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013824",
            "telephone_number": "714-502-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ DENTAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "714-337-4410"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sheri Ann Dixon, LCSW
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• Dental Laboratory in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dental Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.