| Hoang, Nguyen, & Lu Dental Corp | |
|
9912 Carmel Mountain Rd Ste B San Diego CA 92129-2808 | |
| (858) 538-9182 | |
| Not Available |
| Full Name | Hoang, Nguyen, & Lu Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 9912 Carmel Mountain Rd Ste B, San Diego, California |
| Authorized Official Name and Position | Andy T Hoang (PRESIDENT) |
| Authorized Official Contact | 8585389182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoang, Nguyen, & Lu Dental Corp 9912 Carmel Mountain Rd Ste B San Diego CA 92129-2808 Ph: (858) 538-9182 | Hoang, Nguyen, & Lu Dental Corp 9912 Carmel Mountain Rd Ste B San Diego CA 92129-2808 Ph: (858) 538-9182 |
| NPI Number | 1548828221 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 4385976661 |
|---|---|
| Medicare Enrollment ID | O20191106001860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548828221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Mahyar A Karimi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891942652 PECOS PAC ID: 5395968994 Enrollment ID: I20140618001861 |
| Provider Name | Andy T Hoang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477669943 PECOS PAC ID: 0648411181 Enrollment ID: I20190529000377 |
| Provider Name | Dexter Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447779327 PECOS PAC ID: 2163839549 Enrollment ID: I20210331002154 |
| Provider Name | Ha Nhat Vo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285174904 PECOS PAC ID: 9234546565 Enrollment ID: I20210401001353 |
| Provider Name | Robert N Sharobiem |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770898702 PECOS PAC ID: 6103100672 Enrollment ID: I20211117001736 |
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