JASON PHAN DDS INC.


Address: 23451 Madison St, Ste 210, Torrance, CA 90505-4763
Phone: 3103788342

JASON PHAN DDS INC. (NPI# 1174981195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174981195
Entity Type Organization
Organization Name JASON PHAN DDS INC.
Other Organization Name KUWAHARA AND PHAN ENDODONTICS
Practice Address 23451 Madison St
Ste 210
Torrance
CA 90505-4763
Practice Telephone 3103788342
Practice Fax Number 3103784672
Mailing Telephone 3103788342
Mailing Fax Number 3103784672
Enumeration Date 2016-02-04
Last Update Date 2016-09-29
Authorized Official Name JASON PHAN (PRESIDENT)
Authorized Official Telephone 3103788342
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
58635 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Kuwahara and Phan Endodontics Doing Business As Name - Organization

Office Location

Street Address 23451 MADISON ST
STE 210
City TORRANCE
State CA
Zip Code 90505-4763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043213242 Carl Wagreich Podiatrist 23451 Madison St, Ste 230, Torrance, CA 90505-4761 2005-05-23
1992199277 Rose Vargas Nurse Practitioner 23451 Madison St, Suite 340, Torrance, CA 90505-4763 2015-03-24
1538552252 Peter Sinclair Dentist 23451 Madison St, Suite 130, Torrance, CA 90505-4763 2015-03-05
1245629666 Peter M Sinclair, Dds A Professional Dental Corpor Dentist 23451 Madison St, Suite 130, Torrance, CA 90505-4763 2015-01-22
1972939007 Lorraine Rojas Physician Assistant 23451 Madison St, Ste 340, Torrance, CA 90505-4762 2013-09-20
1477849982 Eliza Lim Cambay Nurse Practitioner 23451 Madison St, Suite 290, Torrance, CA 90505-4763 2011-06-22
1013246909 Bliss Medical Group, P.C. Family Medicine 23451 Madison St, Suite 250, Torrance, CA 90505-4763 2009-12-23
1619109303 Jason Thai Phan Dentist 23451 Madison St, Ste 210, Torrance, CA 90505-4763 2009-08-14
1063659829 Janelle Robles Macasieb Physician Assistant 23451 Madison St, Suite 290, Torrance, CA 90505-4763 2009-01-15
1326206848 Son X Nguyen Surgery 23451 Madison St, Suite 340, Torrance, CA 90505-4763 2008-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780229260 Sleep Apnea Team LLC Clinic/Center 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 2019-11-08
1811469349 Laura Anne Bloomberg Marriage & Family Therapist 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 2018-12-21
1629544234 Doroty O.d.s. Devalon Physician Assistant 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 2018-10-22
1790270486 Juste Karvelyte Dentist 3500 Lomita Blvd Ste 201, Torrance, CA 90505 2018-06-26
1023507324 Robert De Leon Physician Assistant 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 2018-05-02
1376052274 Regents of The University of California Durable Medical Equipment & Medical Supplies 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 2017-09-22
1649796038 Chan & Huang Dental Partnership Dentist 3640 Lomita Blvd., #208, Torrance, CA 90505 2017-08-17
1093238370 Family Acupuncture, Inc. Specialist/Technologist, Other 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 2017-07-19
1629518535 J Lee Acupuncture Acupuncturist 24248 Crenshaw Blvd. #106, Torrance, CA 90505 2017-02-27
1770932360 Maha Hanna Dds Inc Dentist 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 2016-06-06
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225435035 David W Kelliny Dentist 22920 Crenshaw Blvd Ste A, Torrance, CA 90505-3023 2014-11-21
1821264664 Fred Shoji Tsutsui Dentist 3640 Lomita Blvd Ste 304, Torrance, CA 90505-3957 2008-05-01
1598979387 Sharon Michyko Kyomen Dentist 3290 Sepulveda Blvd, Torrance, CA 90505 2007-05-10
1194939991 Todd Nakata, Dds Inc Dentist 3290 Sepulvoda Blvd, Torrance, CA 90505 2007-05-10
1346361854 Ray Kuwahara,d.d.s.,inc Dentist 3655 Lomita Blvd Ste 217, Torrance, CA 90505-3958 2007-04-02
1194869743 David Sung Kim Dentist 21229 Hawthorne Blvd, Suite A, Torrance, CA 90503-5501 2007-02-16
1790891935 Erik E. Singer Dentist 3440 Torrance Blvd, Suite 102, Torrance, CA 90503-5805 2006-08-21
1588654073 David W. Kelliny, Dds, Inc. Dentist 22920 Crenshaw Blvd, Suite A, Torrance, CA 90505-3023 2005-10-25
1700244746 Mark Nugent Dentist 3663 Torrance Blvd Ste 3, Torrance, CA 90503-4817 2016-02-05
1992171292 Betty Suh Dentist 3663 Torrance Blvd, Suite 3, Torrance, CA 90503-4817 2015-08-20
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Competitor

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City TORRANCE
Zip Code 90505

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Dataset Information

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.

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