DR. QUY-PHUNG THI PHAN (NPI# 1164662789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164662789 |
| Entity Type | Individual |
| Full Name | DR. QUY-PHUNG THI PHAN |
| Credential | D.D.S |
| Practice Address |
628 Running Deer Rd Walnut CA 91789-4299 |
| Practice Telephone | 6265818209 |
| Mailing Telephone | 6265818209 |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 50090 | CA | Dental Providers |
| Street Address |
628 RUNNING DEER RD |
| City | WALNUT |
| State | CA |
| Zip Code | 91789-4299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964203 | Dolores A. Lopez | Technician | 335 San Roque Drive, Walnut, CA 91789 | 2019-10-22 |
| 1831754233 | Huei-chen Hsu | Pharmacist | 21590 East Valley Blvd., Walnut, CA 91789 | 2019-05-01 |
| 1114486511 | A Plus Acupuncture | Acupuncturist | 1239 N Grand Ave, Walnut, CA 91789 | 2019-03-14 |
| 1003399106 | Larry Besong | Respiratory Therapist, Registered | 22285 Roundup Dr, Walnut, CA 91789 | 2018-09-13 |
| 1114418837 | Yu Yao Lai | Acupuncturist | 20627 Golden Springs Dr # J, Diamond Bar, CA 91789 | 2018-05-29 |
| 1720575608 | Sonam Patel | Pharmacist | 1533 Parker Canyon Road, Walnut, CA 91789 | 2018-04-17 |
| 1649799206 | Jacquelyn Lising | Dietitian, Registered | 911 Summitview Ct, Walnut, CA 91789 | 2017-09-14 |
| 1497272389 | Jennifer Diaz | Behavior Technician | 539 Castlehill Dr, Walnut, CA 91789 | 2017-08-23 |
| 1952759888 | Laurentino Lozada De Guia Jr. | Dentist | 778 Nogales St., Suite G, Walnut, CA 91789 | 2016-06-01 |
| 1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
| Find all providers in zip 91789 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623255 | Robert Mari Guerrero Ramos | Dentist | 1249 N Grand Ave, Walnut, CA 91789-1312 | 2018-09-17 |
| 1649714247 | Michael Hanna | Dentist | 21230 Stockton Pass Rd, Walnut, CA 91789-5109 | 2016-12-15 |
| 1952759888 | Laurentino Lozada De Guia Jr. | Dentist | 778 Nogales St., Suite G, Walnut, CA 91789 | 2016-06-01 |
| 1902261746 | Yi Jasmine Ko | Dentist | 710 Whitewing Ln, Walnut, CA 91789-1849 | 2015-12-21 |
| 1720488083 | Christopher Thomas Auyong | Dentist | 1046 Regal Canyon Dr, Walnut, CA 91789-5030 | 2014-08-23 |
| 1124431085 | Sital Mandalia | Dentist | 20855 Golden Springs Dr, Suite #108, Walnut, CA 91789-3800 | 2014-06-09 |
| 1073949541 | Myat Htut | Dentist | 20709 Golden Springs Dr Ste 202, Walnut, CA 91789-3847 | 2013-09-17 |
| 1528352630 | Julia Zhu Xiong | Dentist | 19822 E Saddle Ridge Ln, Walnut, CA 91789-4380 | 2011-06-06 |
| 1962736975 | Oliver Chu | Dentist | 219 Spyglass Ln, Walnut, CA 91789-2041 | 2009-09-23 |
| 1104088178 | Arshjot S Ahuja | Dentist | 1865 Peaceful Hills Rd, Walnut, CA 91789-4026 | 2008-06-30 |
| Find all providers in WALNUT | ||||
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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.