DUONG AND PETCHPUD GENERAL PARTNERSHIP (NPI# 1790959211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790959211 |
Entity Type | Organization |
Organization Name | DUONG AND PETCHPUD GENERAL PARTNERSHIP |
Other Organization Name | SOUTH COAST DENTISTRY |
Practice Address |
5 Journey Suite 250 Aliso Viejo CA 92656-5336 |
Practice Telephone | 9493601021 |
Practice Fax Number | 9493604125 |
Mailing Telephone | 9493601021 |
Mailing Fax Number | 9493604125 |
Enumeration Date | 2008-04-16 |
Last Update Date | 2008-04-16 |
Authorized Official Name | BAOCHAU T DUONG (OWNER PARTNER) |
Authorized Official Telephone | 9493601021 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
55112 | CA | Dental Providers |
Other Name | Type Code |
---|---|
South Coast Dentistry | Doing Business As Name - Organization |
Street Address |
5 JOURNEY SUITE 250 |
City | ALISO VIEJO |
State | CA |
Zip Code | 92656-5336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093825259 | Kenneth Patrick Martinez | Psychiatry & Neurology | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2006-08-30 |
1699326371 | Brian Barragan | Physician Assistant | 5 Journey, Aliso Viejo, CA 92656-5336 | 2019-09-24 |
1467857078 | Chardonnay Shinn | Physician Assistant | 5 Journey, Suite #130, Aliso Viejo, CA 92656-5336 | 2014-10-24 |
1689917494 | Mia Deborah Lee Kim | Nurse Practitioner | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2013-03-29 |
1558629097 | Leah Theresa Centanni | Nurse Practitioner | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2012-05-02 |
1487958518 | South Coast Medical Group | Clinic/Center | 5 Journey, Suite 130, Aliso Viejo, CA 92656 | 2011-01-04 |
1144541665 | Paul Kim | Pain Medicine | 5 Journey, Suite 220, Aliso Viejo, CA 92656-5336 | 2010-06-18 |
1437476421 | Scott M. Martin Md Inc | Physical Medicine & Rehabilitation | 5 Journey, Suite 220, Aliso Viejo, CA 92656-5336 | 2010-04-29 |
1609027424 | Rebekah Grace Torres | Registered Nurse | 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 | 2008-10-10 |
1770780462 | Wendy Leigh Reulman | Physician Assistant | 5 Journey, #210, Aliso Viejo, CA 92656-5336 | 2007-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
Find all providers in zip 92656 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700494119 | Maria Isabel Acherman | Dentist | 9129 City Lights Dr, Aliso Viejo, CA 92656-2657 | 2020-07-21 |
1326599903 | Opal Dental, PC | Dentist | 85 Argonaut Ste 220, Aliso Viejo, CA 92656-4105 | 2016-10-19 |
1487092631 | Lourdes F Diaz | Dentist | 24541 Pacific Park Dr Ste 105, Aliso Viejo, CA 92656-3050 | 2013-06-10 |
1548570831 | Narda Rodriguez | Dentist | 29 Michelangelo, Aliso Viejo, CA 92656-1476 | 2010-10-20 |
1003125204 | Bryant Dang-khoa Nguyen | Dentist | 22 Coralwind, Aliso Viejo, CA 92656-1430 | 2010-10-05 |
1992028708 | Favela Dental Corp. | Dentist | 26895 Aliso Creek Road, Suite B-712, Aliso Viejo, CA 92656-5301 | 2010-03-08 |
1609069731 | Hoa Truong Dmd, Inc. | Dentist | 27131 Aliso Creek Rd Ste 120, Aliso Viejo, CA 92656-3361 | 2007-08-22 |
1275739310 | Tony Beizaee | Dentist | 23411 Aliso Viejo Pkwy, D, Aliso Viejo, CA 92656-1532 | 2007-06-25 |
1376749408 | Mona Saati | Dentist | 23411 Aliso Viejo Pkwy Ste D, Aliso Viejo, CA 92656-1533 | 2007-06-25 |
1619170818 | Tuan Duc Pham | Dentist | 24541 Pacific Park Dr Ste 240, Aliso Viejo, CA 92656-3050 | 2007-06-06 |
Find all providers in ALISO VIEJO |
City | ALISO VIEJO |
Zip Code | 92656 |
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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.