LEA BANGSIL DMD INC
NPI 1073562823
Dentist - General Practice in La Habra, CA

Active since May 09, 2006
548 W LA HABRA BLVD, LA HABRA, CA 90631(562) 690-5261 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lea Bangsil Dmd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEA BANGSIL DMD INC (NPI 1073562823) is a healthcare organization registered as a general practice in La Habra, California and active in the NPI registry since May 2006. The organization lists Lea Bangsil, President, as its authorized official.

NPPES Registry Identity

NPI1073562823
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEA BANGSIL DMD INC
Location Address548 W LA HABRA BLVDLa Habra, CA 90631-5308
Mailing Address548 W La Habra BlvdLa Habra, CA 90631-5308 · (562) 690-5261
Organization SubpartNo
Authorized OfficialLea BangsilPresident · (562) 690-5261
Enumeration DateMay 9, 2006
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1073562823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · B40532
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
548 W LA HABRA BLVD, La Habra, CA 90631

Other Identifiers 1

OtherB40532-01CA · Denti-cal

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lea Bangsil Dmd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lea Bangsil Dmd Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1861662603
548 W LA HABRA BLVD
La Habra, CA 90631
(562) 690-5261
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lea Bangsil Dmd Inc's NPI number?

The NPI number for Lea Bangsil Dmd Inc is 1073562823. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Lea Bangsil Dmd Inc located?

Lea Bangsil Dmd Inc is located at 548 W La Habra Blvd, La Habra, CA 90631. The listed phone number is (562) 690-5261.

What is Lea Bangsil Dmd Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lea Bangsil Dmd Inc enrolled in Medicare?

Yes. Lea Bangsil Dmd Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lea Bangsil Dmd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Lea Bangsil Dmd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lea Bangsil Dmd Inc was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.