DR. SUSAN LEE CHUNG (NPI# 1962899484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962899484 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LEE CHUNG |
| Credential | D.D.S. |
| Practice Address |
12455 Victoria Gardens Ln Suite 190 Rancho Cucamonga CA 91739-7530 |
| Mailing Address |
10969 Persimmon Ln Fontana CA 92337-6892 |
| Practice Telephone | 9096463057 |
| Mailing Telephone | 2547154830 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 64182 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700100682 | Susan Chung | Pharmacist | 201 S Atlantic Blvd, #c, Alhambra, CA 91801-6301 | 2010-03-20 |
| 1841399615 | Susan Chung | Pediatrics | 60 S Kyrene Rd, #1, Chandler, AZ 85226-4685 | 2006-09-21 |
| 1972086726 | Susan Lee Chung | Marriage & Family Therapist | 20300 S Vermont Ave Ste 245, Torrance, CA 90502-1355 | 2018-09-07 |
| 1144742552 | Susan Chung | Registered Nurse | 240 E 59th St Fl 2, New York, NY 10022-1475 | 2017-07-07 |
| 1295058428 | Susan Kay Chung | Pharmacist | 35100 Enchanted Pkwy S, Federal Way, WA 98003-8314 | 2010-03-02 |
| 1366679326 | Susan Chung | Surgery | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2009-06-17 |
| 1558518100 | Susan A. Chung | Physical Therapist | 2122 E Highland Ave, Suite 200, Phoenix, AZ 85016-4739 | 2008-08-26 |
| 1639242647 | Susan L. Chung | Chiropractor | 7000 Nw Expressway St, Suite H, Oklahoma City, OK 73132-3514 | 2006-11-16 |
| 1821044967 | Susan J Chung | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2006-05-26 |
| Street Address |
12455 VICTORIA GARDENS LN SUITE 190 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91739-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952563934 | Sarah Khani | Dentist | 12455 Victoria Gardens Ln, Suite 190, Rancho Cucamonga, CA 91739-7530 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699230300 | Gogo Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 13269 Firestone Dr, Rancho Cucamonga, CA 91739 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1770082141 | Rajnis Jasani | Pharmacist | 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 | 2018-02-12 |
| 1548787542 | Carla Hibet Castillo | Counselor | 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 | 2017-08-29 |
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1124384540 | Ameerah Rasheedah-bonner Mcmann | Marriage & Family Therapist | 8481 Etiwanda Avenue, Apartment G, Rancho Cucamonga, CA 91739 | 2012-04-10 |
| 1679866784 | Bodylogics Health Services Inc. | Rehabilitation Practitioner | 12730 Foothill Blvd., Unit 102, Rancho Cucamonga, CA 91739 | 2011-05-23 |
| 1801196027 | Lisa Louise Hazelwood | Psychologist | 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 | 2010-10-22 |
| 1700023520 | Gideon Puiyuen Kwok | Legal Medicine | 12225 Foothill Blvd #120, Rancho Cucamonga, CA 91739 | 2009-01-15 |
| Find all providers in zip 91739 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524461 | Oluwadara Dental Corporation | Dentist | 9612 Foothill Blvd Ste 100&105, Rancho Cucamonga, CA 91730-3547 | 2020-09-29 |
| 1316552391 | Valery Saikaly | Dentist | 13714 Smokestone St, Rancho Cucamonga, CA 91739-2078 | 2020-09-15 |
| 1982218947 | Lidya Khalil | Dentist | 11687 Mount Waverly Ct, Rancho Cucamonga, CA 91737-7904 | 2020-09-06 |
| 1396355301 | Raniya Ibrahim A Jamal Aldeen | Dentist | 7950 Etiwanda Ave Apt 8207, Rancho Cucamonga, CA 91739-8711 | 2020-08-04 |
| 1851918866 | Luis Alfredo Velazquez, D.d.s. Inc. | Dentist | 8977 Foothill Blvd Ste F, Rancho Cucamonga, CA 91730-3498 | 2020-06-26 |
| 1871053348 | B. Deirmenjian, Dds, Inc | Dentist | 8463 Haven Ave, Rancho Cucamonga, CA 91730-3845 | 2019-03-21 |
| 1316402027 | Sarah Gebrail | Dentist | 9451 Stoneybrock Pl, Rancho Cucamonga, CA 91730-7970 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1669843496 | Enrique Lewin | Dentist | 7890 Haven Ave. Ste 3, Rancho Cucamonga, CA 91730-0961 | 2015-10-20 |
| 1598141137 | Alexander Moqattash | Dentist | 9950 Foothill Blvd Ste T, Rancho Cucamonga, CA 91730 | 2015-08-05 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91739 |
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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.