| Kaizen Dental | |
|
8813 Alondra Blvd Paramount CA 90723-4603 | |
| (818) 383-5350 | |
| Not Available |
| Full Name | Kaizen Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 8813 Alondra Blvd, Paramount, California |
| Authorized Official Name and Position | Diem Cao (DENTIST) |
| Authorized Official Contact | 8183835350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaizen Dental 8813 Alondra Blvd Paramount CA 90723-4603 Ph: (818) 383-5350 | Kaizen Dental 8813 Alondra Blvd Paramount CA 90723-4603 Ph: (818) 383-5350 |
| NPI Number | 1134624638 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 05/07/2019 |
| Medicare PECOS PAC ID | 8325371206 |
|---|---|
| Medicare Enrollment ID | O20190607001383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134624638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DDS101136 (California) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | Diem Cao |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740726769 PECOS PAC ID: 9234462110 Enrollment ID: I20190607001476 |
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