Kathleen A Siu Professional Corporation | |
23838 Valencia Blvd 300 Valencia CA 91355-5319 | |
(661) 259-2960 | |
(661) 259-5983 |
Full Name | Kathleen A Siu Professional Corporation |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 23838 Valencia Blvd, Valencia, California |
Authorized Official Name and Position | Kathleen A Siu (OWNER) |
Authorized Official Contact | 6612592960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kathleen A Siu Professional Corporation 23838 Valencia Blvd 300 Valencia CA 91355-5319 Ph: (661) 259-2960 | Kathleen A Siu Professional Corporation 23838 Valencia Blvd 300 Valencia CA 91355-5319 Ph: (661) 259-2960 |
NPI Number | 1134518988 |
---|---|
Provider Enumeration Date | 01/16/2015 |
Last Update Date | 01/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134518988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 29472 (California) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 28618 (California) | Secondary |
Randi Oyama Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25775 Mcbean Pkwy Ste 207, Valencia, CA 91355 Phone: 661-373-4897 | |
Julian L. Nguyen D.m.d., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25528 The Old Rd, Valencia, CA 91381 Phone: 661-255-9646 Fax: 661-255-9657 | |