GLENN CHANG DDS INC (NPI# 1396148771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396148771 |
| Entity Type | Organization |
| Organization Name | GLENN CHANG DDS INC |
| Practice Address |
20657 Golden Springs Dr Suite205b Diamond Bar CA 91789-3875 |
| Practice Telephone | 9095952868 |
| Practice Fax Number | 9095691866 |
| Mailing Telephone | 9095952868 |
| Mailing Fax Number | 9095691866 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | GLENN CHANG (PRESIDENT) |
| Authorized Official Telephone | 9095952868 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
54537 | CA | Dental Providers |
| Street Address |
20657 GOLDEN SPRINGS DR SUITE205B |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91789-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184940009 | Micah Kim | Chiropractor | 20657 Golden Springs Dr, Suite #202, Diamond Bar, CA 91789-3875 | 2010-04-16 |
| 1124376983 | Alina Wanling Gad | Dentist | 20657 Golden Springs Dr, Suite 207, Diamond Bar, CA 91789-3875 | 2012-08-27 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679932032 | Li Dds Dental Inc. | Dentist | 3333 S Brea Canyon Rd Ste 121, Diamond Bar, CA 91765-3783 | 2016-02-15 |
| 1598924292 | Song Hoe Koo | Dentist | 2040 S Brea Canyon Rd, Ste #210, Diamond Bar, CA 91765 | 2008-06-06 |
| 1114191251 | Glenn Hsuan Chen Chang | Dentist | 3333 S Brea Canyon Rd Ste 203, Diamond Bar, CA 91765-3784 | 2008-04-19 |
| 1700941416 | Shen Ling D.m.d. & Jin Kim D.d.s. Inc | Dentist | 620 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 | 2006-12-22 |
| 1396881041 | Jin Y Kim | Dentist | 620 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 | 2007-01-29 |
| 1619034535 | Dr John S Yun, D.m.d. | Dentist | 750 N Diamond Bar Blvd, Suite 112, Diamond Bar, CA 91765-1023 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | DIAMOND BAR |
| Zip Code | 91789 |
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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.