Lien Kim Quach DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIEN KIM QUACH DDS INC

Practice address

1801 Hasti Acres Dr Ste 9
Bakersfield, CA 93309-4879

Phone

(661) 323-0076

Fax

(661) 323-0277

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Daru Wardono

Title

Office Manager

Phone

(661) 323-0076

Specialties & licenses 1

Addresses

Other names 2

• Quach Central Valley Dental Doing business as
• Quach Central Valley Dental Practice Doing business as

Tax ID family

Lien Kim Quach DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lien Kim Quach DDS Inc

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1003578824
  NPD tax ID

Locations

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1982358024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10600",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890600",
            "telephone_number": "661-323-0076",
            "fax_number": "661-323-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HASTI ACRES DR STE 9",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094879",
            "telephone_number": "661-323-0076",
            "fax_number": "661-323-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEN KIM QUACH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "WARDONO",
        "authorized_official_first_name": "DARU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-323-0076"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quach Central Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quach Central Valley Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Licano, LCSW
• Janelle Liceralde
• Kristen Alyce Lidgett
• Lauren Grace Lieder, P.T.
• Lien Kim Quach DDS Inc
• Alan Lien, PA-C
• Julia Cass Liepmann, MS, PA-C
• Laylah Lievana
• Life Connections
• Life Gear Medical Supply LLC

• Dental Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.