Lydia Koernianingsih in Santa Ana - Dentist
Lydia Koernianingsih - NPI 1083817423
Lydia Koernianingsih is a Dentist in Santa Ana, California. Lydia Koernianingsih practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lydia Koernianingsih is 1083817423. The last update date is 2020-01-24.
Lydia Koernianingsih's current location address is 1125 E 17th St Ste W234, Santa Ana, California. You can contact this provider via phone number 7145584895 and fax number 7145584896. The mailing address for Lydia Koernianingsih is 1125 E 17th St Ste W234, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia Koernianingsih |
|---|---|
| Address | 1125 E 17th St Ste W234, Santa Ana, California |
| Phone Number | 7145584895 |
| Fax Number | 7145584896 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083817423 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2020-01-24 |
Provider Mailing Address Detail
| Address | 1125 E 17th St Ste W234 |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927012228 |
| Phone Number | 7145584895 |
| Fax Number | 7145584896 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 48488 |
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Definition: 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: denti |
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Post Comment/ Review Below
What is the Lydia Koernianingsih's unique identification number?
The Lydia Koernianingsih has been assigned the NPI (National Provider Identifier) Number 1083817423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Lydia Koernianingsih is physically located?
The Lydia Koernianingsih is situated at the following address: 1125 E 17Th St Ste W234, Santa Ana, CA 927012228.
What is the Lydia Koernianingsih's area of specialization and corresponding taxonomy classification?
The Lydia Koernianingsih's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Lydia Koernianingsih receive its 1083817423 assignment?
The Lydia Koernianingsih was assigned its 1083817423 on 2007-06-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lydia Koernianingsih, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lydia Koernianingsih, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-01-24.