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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.