DR. VIVIEN LAO (NPI# 1942580923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942580923 |
| Entity Type | Individual |
| Full Name | DR. VIVIEN LAO |
| Credential | D.D.S. |
| Practice Address |
2226 Otay Lakes Rd Ste Aandb Chula Vista CA 91915-1000 |
| Mailing Address |
3771 Shining Star Dr Sacramento CA 95823-6227 |
| Practice Telephone | 6193368478 |
| Mailing Telephone | 3104671391 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
60380 | CA | Dental Providers |
| Street Address |
2226 OTAY LAKES RD STE AANDB |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1952576456 | Eric John R Eusebio Dmd Inc | Dentist | 2127 Olympic Parkway, #1003, Chula Vista, CA 91915 | 2008-04-25 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| Find all providers in zip 91915 | ||||
| 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 |
|---|---|---|---|---|
| 1578942942 | Emily Vaccarezza | Dentist | 2446 Fenton St Ste 102, Chula Vista, CA 91914-3516 | 2015-05-19 |
| 1710234935 | David Corey Patterson | Dentist | 397 E Street, Chula Vista, CA 91910 | 2012-08-07 |
| 1679838528 | Rayna Tovah Karoll | Dentist | 222 3rd Ave, Chula Vista, CA 91910-2711 | 2012-07-06 |
| 1861668451 | Benita Janine De Mirza | Dentist | 345 F St Ste 260, Chula Vista, CA 91910-2649 | 2008-05-02 |
| 1356471460 | Safoura Massoumi Professional Dental Corp. | Dentist | 397 E Street Suite A, Chula Vista, CA 91910 | 2007-03-07 |
| 1497823561 | Safoura Massoumi | Dentist | 397 E St, Ste #a, Chula Vista, CA 91910 | 2006-11-30 |
| 1730251851 | Nazli Keri | Dentist | 2226 Otay Lakes Rd Ste A, Chula Vista, CA 91915-1000 | 2006-11-14 |
| 1093733925 | Ilse Savelli | Dentist | 355 K St, Suite A, Chula Vista, CA 91911-1209 | 2006-07-18 |
| 1255857942 | Emily Vaccarezza, Dds, Inc | Dentist | 2446 Fenton St Ste 102, Chula Vista, CA 91914-3516 | 2017-08-15 |
| 1962800490 | Nazli Keri Dds A Professional Corp | Dentist | 345 F St Ste 260, Chula Vista, CA 91910-2649 | 2014-12-16 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91915 |
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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.