Bardi Pak Chen Dental Corp
Dentist, Endodontics in San Marino, CA. Organization (NPI-2).
NPI number1104735281
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1104735281
- Entity type
- Organization (NPI-2)
- Legal business name
- Bardi Pak Chen Dental Corp
- Organization subpart
- No
- Enumeration date
- Sep 3, 2026
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | – | Yes |
Practice location
1437 San Marino AveSan Marino, CA 91108-2027
Phone 626-878-3636
Mailing address
1437 San Marino AveSan Marino, CA 91108-2027
Phone 626-878-3636
Authorized official
Ha Reem Kim
Regional Manager
6268783636
Is something wrong?
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