Costa Mesa Oral Surgery
NPI 1598347510ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Costa Mesa, CA
Dentist, Oral and Maxillofacial Surgery in Costa Mesa, California, registered in NPPES in April 2021. The authorized official on file is Lee Duong Pham, DDS, MD, Owner, Partner.
Overview
| NPI | 1598347510 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2021 |
| Last updated in NPPES | Apr 28, 2021 |
| Certified by provider | Apr 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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