Inne S Oen, DDS
Individual provider Active NPI General Practice Dentistry · Hacienda HTS, CA
NPI 1992867519 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1992867519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- B28213 (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
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B28213 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | B28213 | CA | Yes |
Addresses
Primary practice location
2219 S Hacienda Blvd. Suite210
Hacienda HTS, CA 91745-4610
Mailing address
1837 14 Vallecito Dr
Hacienda HTS, CA 91745-3345
Phone (626) 330-6599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B28213-02 | Medicaid | CA |
Other providers in Hacienda HTS, CA
- Mark W. Li
- Jane Lin Molina
- More More Home Health, Inc
- Madeleine Nguyen Ngo
- Michael Kevin O'Shea
- Maria Santos
- Jen-Kway Shen
- Alina Tseng
- Chieh Yang Tsun
- Vineyard Pediatric Medical Clinic a Professional Corporation
All providers in Hacienda HTS, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.