Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NAM PHAN, DMD, INC
Active
Organization
NAM PHAN, DMD, INC
Active
Other names
Pro Dentista Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA HAYRAPETIAN (CONSULTANT)
(818) 262-6114
Entity
Organization
Contact information
Practice address
2634 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4120
(323) 585-2777
Mailing address
2634 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881924298
—
CA
Enumeration date
02/26/2010
Last updated
02/26/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up