LA-PHAM AND KANSAGRA DENTAL CORPORATION (NPI# 1336675800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336675800 |
| Entity Type | Organization |
| Organization Name | LA-PHAM AND KANSAGRA DENTAL CORPORATION |
| Other Organization Name | BIXBY KNOLLS MODERN DENTISTRY DENTAL GROUP |
| Practice Address |
4578 Atlantic Ave Long Beach CA 90807 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 3105796465 |
| Practice Fax Number | 3105796556 |
| Mailing Telephone | 7148458500 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | DR. KINH LA-PHAM (OWNER DENTIST) |
| Authorized Official Telephone | 3105796465 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bixby Knolls Modern Dentistry Dental Group | Doing Business As Name - Organization |
| Street Address |
4578 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753849 | Jennifer Na T Mai | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| 1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
| Find all providers in zip 90807 | ||||
| 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 |
|---|---|---|---|---|
| 1467069633 | Jonathan Beroukhim Dds Inc | Dentist | 6950 N Paramount Blvd, Long Beach, CA 90805-1863 | 2020-09-30 |
| 1093347437 | Leila Zamiri Dds Inc | Dentist | 3317 E 10th St, Long Beach, CA 90804-5050 | 2020-02-04 |
| 1356971063 | Michael Bui Dmd, Inc | Dentist | 3320 N Los Coyotes Diagonal Ste 250, Long Beach, CA 90808-3939 | 2020-01-22 |
| 1518508605 | Wu and Najafi Dental Corporation | Dentist | 7370 Carson Blvd, Long Beach, CA 90808-2360 | 2019-10-01 |
| 1487205878 | Steven Wu Dental Corporation | Dentist | 7603 Carson Blvd, Long Beach, CA 90808-2367 | 2019-09-26 |
| 1336792068 | Nam G Bui | Dentist | 4808 Bentree Ave, Long Beach, CA 90807-1007 | 2019-07-22 |
| 1568023265 | Alice Khieu Flores | Dentist | 1321 Lemon Ave, Long Beach, CA 90813-2100 | 2019-06-24 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1851875405 | Ronald C. Abaro Dds Inc | Dentist | 627 Magnolia Ave Ste 105, Long Beach, CA 90802-1289 | 2018-09-19 |
| 1548754260 | Peace Kim Dentistry, Inc. | Dentist | 3840 Woodruff Ave Ste 107, Long Beach, CA 90808-2148 | 2018-06-16 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on LA-PHAM AND KANSAGRA DENTAL CORPORATION.
| 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.