Pauline Lee Phan, Professional Dental Corp.
NPI 1053773689ActiveOrganization· Dentist, General Practice· Fountain Valley, CA
Dentist, General Practice in Fountain Valley, California, registered in NPPES in March 2016. The authorized official on file is Pauline Lee Phan, DDS, President.
Overview
| NPI | 1053773689 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2016 |
| Last updated in NPPES | Mar 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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