Dr. Ellen Im Pediatric Dentistry And Orthodontics

LBN: Ellen Im Dds Inc
Dr. Ellen Im Pediatric Dentistry And Orthodontics is an health care organization with primary practice located at 13422 Pomerado Rd Ste 201 , Poway CA 92064-3548. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Ellen Im Dds Inc can be contacted via phone (858) 679-6660, or through Im, Ellen via phone (858) 679-6660.

Contact Information

Primary practice address
13422 Pomerado Rd Ste 201 Poway CA 92064-3548
Phone: (858) 679-6660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Im, Ellen Doctor of Dental Surgery (DDS)
Phone: (858) 679-6660

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1861091720
LBN Legal business name Ellen Im Dds Inc
DBA Doing business as Dr. Ellen Im Pediatric Dentistry And Orthodontics
Authorized official Im, Ellen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2020
Last updated May 6th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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