<Unavail>

LBN: Lydia Koernianingsih Dds A Prof Corp
<Unavail> is an health care organization with primary practice located at 1125 E 17Th St Ste W234 , Santa Ana CA 92701-2228. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lydia Koernianingsih Dds A Prof Corp can be contacted via phone (714) 558-4895, or through Koernianingsih, Lydia via phone (714) 558-4895.

Contact Information

Primary practice address
1125 E 17Th St Ste W234 Santa Ana CA 92701-2228
Phone: (714) 558-4895
Fax: (714) 558-4896
Website:
Map and Directions
Authorized official contact:
Name: Koernianingsih, Lydia
Phone: (714) 558-4895

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 48488 California

Profile Details

NPI number 1922349521
LBN Legal business name Lydia Koernianingsih Dds A Prof Corp
DBA Doing business as <Unavail>
Authorized official Koernianingsih, Lydia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2013
Last updated Jan 24th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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