Mrs. Lydia Koernianingsih is a Santa Ana, California based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mrs. Lydia Koernianingsih is
48488 for Dentistry in California. Her current practice location is
1125 E 17th St Ste W234, Santa Ana. Patients can reach her at
714-558-4895.
Mrs. Lydia Koernianingsih is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mrs. Lydia Koernianingsih speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mrs. Lydia Koernianingsih |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1125 E 17th St Ste W234, Santa Ana,
California, 92701-2228 |
| Phone: | 714-558-4895 |
| Fax: | 714-558-4896 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1083817423 |
| NPI Enumeration Date: | 05 Jun, 2007 |
| NPI Last Update On: | 24 Jan, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Lydia Koernianingsih are as mentioned below.
| License Number | Specialization | State | Status | |
| 48488 | Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1125 E 17th St Ste W234,
Santa Ana, California |
| Zip: | 92701-2228 |
| Phone Number: | 714-558-4895 |
| Fax Number: | 714-558-4896 |
Patients can reach Mrs. Lydia Koernianingsih at
1125 E 17th St Ste W234, Santa Ana, California or can
call to book an appointment on 714-558-4895.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.