Inne S Oen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B28213 Issued in CA

Practice address

2219 S Hacienda Blvd. Suite210
Hacienda HTS, CA 91745-4610

Phone

(626) 330-6599

Fax

(626) 333-9360

NPI assigned

Dec 14, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992867519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 14 VALLECITO DR",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917453345",
            "telephone_number": "626-330-6599",
            "fax_number": "626-333-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 S HACIENDA BLVD. SUITE210",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917454610",
            "telephone_number": "626-330-6599",
            "fax_number": "626-333-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEN",
        "first_name": "INNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B28213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vineyard Pediatric Medical Clinic a Professional Corporation

• General Practice Dentistry in Hacienda HTS, CA
• Providers in Hacienda HTS, 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 9, 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.