JOSEPH YUN KWANG KAN


Address: 11092 Anderson St, Loma Linda, CA 92350-1706
Phone: 9095584613

JOSEPH YUN KWANG KAN (NPI# 1518157759) 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) 1518157759
Entity Type Individual
Full Name JOSEPH YUN KWANG KAN
Credential D.D.S.
Practice Address 11092 Anderson St
Loma Linda
CA 92350-1706
Mailing Address 11092 Anderson Street
Loma Linda
CA 92350
Practice Telephone 9095584613
Mailing Telephone 9095584613
Enumeration Date 2007-07-25
Last Update Date 2007-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
38697 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE LICENCE 38697 01

Office Location

Street Address 11092 ANDERSON ST
City LOMA LINDA
State CA
Zip Code 92350-1706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114912854 Nathan Alexander Dinsbach Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2005-09-20
1134736366 Mel-anizi Abante Bersaba Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2020-10-01
1205454683 Marilyn Tago Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2020-07-11
1366095143 Akinlolu Tolulope Jegede Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2019-07-19
1992360705 Alexander Borisovich Zaykov Student in an Organized Health Care Education/Training Program 11092 Anderson St, Loma Linda, CA 92350-1706 2019-05-07
1619450020 Carlos Alberto Poni Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2018-09-11
1780175513 Lin Jing Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2018-05-29
1336630177 Roya Mahmoodi Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2018-05-29
1740771583 Susan Q Xu Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2018-05-29
1881191872 Janine Tran Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2018-04-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164059010 Stephanie Abandy Student in an Organized Health Care Education/Training Program 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 2020-03-23
1275911844 Rosemarie Florian Internal Medicine 11234 Anderson St Rm 1503, Loma Linda, CA 92350 2015-05-14
1235525403 Diana Derosa Villarreal Pediatrics 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 2015-04-14
1609212919 Daniel Eldridge Smith Surgery 11175 Campus St # 21111, Loma Linda, CA 92350 2013-05-14
1992057269 Hildemar Feliciano Dos Santos Nutritionist 25040 Stewart Street, Loma Linda, CA 92350 2012-10-10
1184910762 Kristyn Anne Mannoia Surgery 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 2011-06-22
1760774947 Loma Linda University Special Hospital 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 2011-05-06
1144547977 Andrei Radulescu Surgery 11175 Campus St Ste 21111, Loma Linda, CA 92350 2010-05-04
1619102845 Wing Sze Esther Yung Surgery 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 2009-05-18
1679720734 Ronald Lee Young Dentist 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 2008-08-20
Find all providers in zip 92350

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821519000 Brian Joseph Goodacre Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2017-06-28
1376878918 Robert Douglas Walter Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2009-10-15
1063664621 Wendy Christina Gregorius Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-10-15
1821249913 Montry S. Suprono Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-10-07
1700036266 John Boram Won Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-09-22
1326296427 Vu Quoc Huynh Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-09-03
1821246166 Nadim Z. Baba Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-08-28
1750581260 Jaime Lorencez Lozada Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2007-07-23
1174739346 William Patrick Naylor Dentist 11092 Anderson Street, Loma Linda, CA 92354 2007-05-15
1497960348 Myron Sheldon Winer Dentist 11092 Anderson Street, Loma Linda, CA 92354 2007-05-14
Find all providers in LOMA LINDA

Competitor

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City LOMA LINDA
Zip Code 92350

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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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