POMONA VALLEY DENTAL PRACTICE
NPI 1104023647
Preferred Provider Organization in Pomona, CA
About Pomona Valley Dental Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POMONA VALLEY DENTAL PRACTICE (NPI 1104023647) is a healthcare organization registered as a preferred provider organization in Pomona, California and active in the NPI registry since June 2007. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Anthony Dung Nguyen, President, as its authorized official.Information from the official NPPES registry record, last updated November 13, 2007.
NPPES Registry Identity
★ Primary Specialty
Preferred Provider Organization
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice,… Show more
Also on File with NPPES
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0564307
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- PHILIP O. STRASSLE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Pomona Valley Dental Practice on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104023647, enumerated as an "organization" on June 28, 2007.
The provider is located at 1290 N GAREY AVE POMONA, CA 91767 and the phone number is (909) 623-1564.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.