AMANDA N SIU DDS INC (NPI# 1780125518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780125518 |
| Entity Type | Organization |
| Organization Name | AMANDA N SIU DDS INC |
| Practice Address |
12062 Valley View St Ste 250 Garden Grove CA 92845-1770 |
| Mailing Address |
13652 Belle Rive Santa Ana CA 92705-2831 |
| Practice Telephone | 7148938571 |
| Mailing Telephone | 7144259736 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | DR. AMANDA SIU (PRESIDENT) |
| Authorized Official Telephone | 7144259736 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
64432 | CA | Dental Providers |
| Street Address |
12062 VALLEY VIEW ST STE 250 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92845-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059352 | Maria Sanchez Selvas | Technician | 5922 Belgrave Ave, Garden Grove, CA 92845 | 2019-08-21 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1154745594 | Amanda Siu | Dentist | 12062 Valley View St #250, Garden Grove, CA 92845 | 2014-02-05 |
| 1295085660 | Harrell M Reznick | Psychologist | 12792 Longden St, Garden Grove, CA 92845 | 2012-09-13 |
| 1093065328 | Jessica Eldridge | Psychologist | 12777 Valley View, Suite 212, Garden Grove, CA 92845 | 2012-09-13 |
| 1205114501 | Hideki Ikeda D.d.s., M.s., Dental Corporation | Dentist | 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 | 2011-08-03 |
| 1669652533 | David D. Brown | Psychiatry & Neurology | 12062 Valley View St Ste 107, Garden Grove, CA 92845 | 2007-11-08 |
| 1427267608 | Stacy Derenard | Speech-Language Pathologist | 12060 Valley View St, Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1992914170 | Erin Dawn Densmore | Speech-Language Pathologist | 12060 Valley View St., Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1902944929 | Regency Hospice Inc | Hospice Care, Community Based | 12062 Valley View Street #125, Garden Grove, CA 92845 | 2007-02-02 |
| Find all providers in zip 92845 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154745594 | Amanda Siu | Dentist | 12062 Valley View St #250, Garden Grove, CA 92845 | 2014-02-05 |
| 1326103474 | Christina Maldonado | Dentist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2006-12-27 |
| 1457837940 | Catherine My-hanh Pham | Dentist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2018-07-17 |
| 1962993824 | Gary Gang Liu | Dentist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2018-05-25 |
| 1134610454 | Mohammad Abul-fielat Dds Inc | Dentist | 12828 Harbor Blvd Ste 210, Garden Grove, CA 92840-5834 | 2018-05-22 |
| 1346758851 | Mohammad Abul-fielat Dds Inc | Dentist | 9535 Garden Grove Blvd, Ste #201, Garden Grove, CA 92844 | 2018-01-18 |
| 1992119598 | Konita Lee Wilks | Dentist | 10602 Chapman Ave, Garden Grove, CA 92840-3146 | 2014-06-12 |
| 1750713848 | Brandon Gire | Dentist | 10602 Chapman Ave, Garden Grove, CA 92840-3146 | 2013-07-31 |
| 1952698482 | Phi Luong | Dentist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2011-07-05 |
| 1417167487 | Eduardo Correa | Dentist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3103 | 2007-05-22 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92845 |
Please comment or provide details below to improve the information on AMANDA N SIU DDS INC.
| 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.