SU-MIN WANG (NPI# 1134461353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134461353 |
Entity Type | Individual |
Full Name | SU-MIN WANG |
Credential | D.D.S. |
Practice Address |
24541 Pacific Park Dr Suite 104 Aliso Viejo CA 92656-3065 |
Practice Telephone | 9493629860 |
Practice Fax Number | 9493624802 |
Mailing Telephone | 9493629860 |
Mailing Fax Number | 9493624802 |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
36030 | CA | Dental Providers |
Street Address |
24541 PACIFIC PARK DR SUITE 104 |
City | ALISO VIEJO |
State | CA |
Zip Code | 92656-3065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083687776 | Roland Spurgeon Beverly IIi | Dermatology | 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3065 | 2006-02-11 |
1881105773 | Terry Allen Wood | Respiratory Therapist, Registered | 24541 Pacific Park Dr, Aliso Viejo, CA 92656-3065 | 2017-10-18 |
1740727932 | Be Well Collaborative Care Center | Internal Medicine | 24541 Pacific Park Dr, Suite 109, Aliso Viejo, CA 92656-3065 | 2017-01-25 |
1518325117 | Cima Mazar-atabaki Dmd Inc | Dentist | 24541 Pacific Park Dr, Suite #104, Aliso Viejo, CA 92656-3065 | 2016-02-10 |
1912249392 | Farhang Shahzadi | Dentist | 24541 Pacific Park Dr, Suite 105, Aliso Viejo, CA 92656-3065 | 2013-03-22 |
1811283484 | Kenneth Hoang | Chiropractor | 24541 Pacific Park Dr, Suite 290, Aliso Viejo, CA 92656-3065 | 2011-06-22 |
1306075825 | Cima Mazar-atabaki | Dentist | 24541 Pacific Park Dr, Suite 104, Aliso Viejo, CA 92656-3065 | 2009-07-06 |
1063657245 | Mark J. Wilson | Dentist | 24541 Pacific Park Dr, Suite 105, Aliso Viejo, CA 92656-3065 | 2008-12-02 |
1659533677 | Roland S. Beverly IIi, M.d., P.C. | Dermatology | 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3065 | 2008-07-01 |
1881892966 | Aliso Niguel Dental Group | Dentist | 24541 Pacific Park Dr, Ste 105, Aliso Viejo, CA 92656 | 2007-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
Find all providers in zip 92656 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295969244 | Nikki H Kabra | Dentist | 2 Journey Ste 205, Aliso Viejo, CA 92656-3373 | 2009-05-05 |
1679782718 | Su-min Wang Professional Dental Corporation | Dentist | 24541 Pacific Park Dr Ste 104, Aliso Viejo, CA 92656-3050 | 2007-05-22 |
1821086570 | Joanne Suarez Martinez | Dentist | 26711 Aliso Creek Rd, Suite 200-c, Aliso Viejo, CA 92656-4820 | 2005-10-07 |
1518325117 | Cima Mazar-atabaki Dmd Inc | Dentist | 24541 Pacific Park Dr, Suite #104, Aliso Viejo, CA 92656-3065 | 2016-02-10 |
1306075825 | Cima Mazar-atabaki | Dentist | 24541 Pacific Park Dr, Suite 104, Aliso Viejo, CA 92656-3065 | 2009-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
Find all providers with the same taxonomy |
City | ALISO VIEJO |
Zip Code | 92656 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.