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DR. JENNY SUN PAN DMD
NPI 1245369263
Dentist in Los Angeles, CA

Active since March 05, 2007PECOS Enrolled
711 W FLORENCE AVE, LOS ANGELES, CA 90044(323) 789-5610 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jenny Sun Pan Dmd NPPES

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

DR. JENNY SUN PAN DMD (NPI 1245369263) is an individual dentist in Los Angeles, California, licensed in California (53344) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1245369263
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENNY SUN PANCredential: DMD
Location Address711 W FLORENCE AVELos Angeles, CA 90044-6105
Mailing Address517 Workman AveArcadia, CA 91007-8456 · (626) 808-2300
Phone(323) 789-5610
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1245369263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 53344
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
711 W FLORENCE AVE, Los Angeles, CA 90044
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Other Names 1

Former Name (1)Dr. Jenny Sun Tjahjono Dmd

Secondary Practice Location 1

Location 1309 E 2nd StPomona, CA 91766-1854 · Phone (909) 706-3815

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jenny Sun Pan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROMEN ROMEL LOPEZ LCSW
Social Worker (Clinical)
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 789-5610
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Clinic/Center (Federally Qualified Health Center (FQHC))
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 789-5610
JENNIFER GARCIA RN
Registered Nurse (General Practice)
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 789-5610
DR. RACHAEL MARIE CARRENO DO
Family Medicine
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 789-5610
SAHAR MUSTAFA ABDELRAHMAN MD
Internal Medicine
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 789-5610
UNIVERSITY MUSLIN MEDICAL ASSOCIATION, INC.
Clinic/Center (Community Health)
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 967-0375
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Community/Behavioral Health
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 789-6510
MR. KAREEM ABDUL-JABBAR
Social Worker (Clinical)
711 W FLORENCE AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 789-5610

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 Jenny Pan's NPI number?

The NPI number for Jenny Pan is 1245369263. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Dr. Jenny Sun Tjahjono Dmd.

Where is Jenny Pan located?

Jenny Pan practices at 711 W Florence Ave, Los Angeles, CA 90044. The listed phone number is (323) 789-5610.

What is Jenny Pan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jenny Pan enrolled in Medicare?

Yes. Jenny Pan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Pan was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.