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NPI Code Detail

MEDICARE: LAURA NGOAN VO RDHAP

MEDICARE:   LAURA NGOAN VO  RDHAP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistHAP529CA

General Provider Information

NPI Number : 1538302542
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA NGOAN VO RDHAP
Provider Business Mailing Address
First Line : 16261 VENUS DRIVE
Second Line :
City : WESTMINISTER
State : CA
Zip : 92683
Country : US
Telephone Number : 714-306-6368
Fax Number : 310-679-6698
Provider Business Practice Location Address
First Line : 13450 HAWTHORNE BLVD
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-5806
Country : US
Telephone Number : 310-679-0106
Fax Number : 310-679-6698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2009
Last Update Date : 07/30/2024

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Directions to “ LAURA NGOAN VO RDHAP” Practice Location

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