Fenghua Fu D.D.S., a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53212 Issued in CA

Legal business name

FENGHUA FU D.D.S., A PROFESSIONAL CORPORATION

Practice address

13704 Amar Rd
La Puente, CA 91746

Phone

(626) 917-3088

Fax

(626) 917-9333

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Fenghua Fu, DDSNPI 1093845398

Title

President

Phone

(626) 917-3088

Specialties & licenses 1

Addresses

Other names 1

• Los Angeles Dental Office Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Fenghua Fu, DDS

  • General Practice Dentistry
  • La Puente, CA
  • NPI 1093845398
  Medicare reassignment NPD Authorized official
• Michael J Hanrahan, D.D.S.

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1992910137
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1982733689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13704 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91746",
            "telephone_number": "626-917-3088",
            "fax_number": "626-917-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13704 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91746",
            "telephone_number": "626-917-3088",
            "fax_number": "626-917-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENGHUA FU D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "FENGHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-917-3088",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excel Healthcare, Inc.
• F & M Atiga Inc
• Fairmont Healthcare Corp.
• Diana Oluwakemi Falodun, PHARMD, RPH
• Danielle Marie Faust
• Pamela Joyce Flennory
• Enrique Flores, D.D.S
• Foothill Family Service
• Foothill Family Service
• Foothill Family Service

• General Practice Dentistry in La Puente, CA
• Providers in La Puente, 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 Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.