Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558343715 Individual Practitioner Female Practitioner

Dr. Khanhlam Kim Phan , DDS

Dentist • Montebello, CA

Professional Overview & Biography Verified Profile Summary

Dr. Khanhlam Phan, DDS is a registered healthcare professional specializing in Dentist in Montebello, CA. Practice services are available at 137 N MONTEBELLO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

137 N Montebello Blvd

Montebello, CA 906404797

Telephone 4255057263
Fax 4255057263
Associated Practice Facility / Clinic
🏢 Hoang H Dang, Md, Ps Facility NPI 1164775508

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Montebello, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
37 Specialists

Practicing in Montebello, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 56940

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Hoang Dang , MD

Internal Medicine

NPI 1891835989

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location May 23, 2025

Registered at 137 N MONTEBELLO BLVD, MONTEBELLO, CA 906404797 (Tel: 4255057263)

📍
Updated Business Mailing Address May 23, 2025

Registered at 504 16TH ST, HUNTINGTON BEACH, CA 926484014 (Tel: 4255057263)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2025

Dentist (License #56940 in CA)

📍
Updated Practice Location May 26, 2023

Registered at 1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 984053926 (Tel: 4255057263)

📍
Updated Business Mailing Address May 26, 2023

Registered at 1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 984053926 (Tel: 2534414743)

📍
Updated Practice Location August 01, 2020

Registered at 2701 W 1ST ST, SANTA ANA, CA 927033443 (Tel: 4255057263)

📍
Updated Business Mailing Address August 01, 2020

Registered at 2041 N ORANGE OLIVE RD, ORANGE, CA 928653326 (Tel: 4255057263)

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2012

Registered at 8532 122ND AVE NE, KIRKLAND, WA 980335831 (Tel: 4258224100)

📍
Updated Business Mailing Address September 11, 2012

Registered at 8532 122ND AVE NE, KIRKLAND, WA 980335831 (Tel: 4258224100)

👤
Provider Name / Credentials Updated September 11, 2012

Recorded as KHANHLAM PHAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Dentist (License #DE60197084 in WA)

🟢
Initial NPI Registration & Enumeration November 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558343715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2005
Last Update: May 23, 2025
Sole Proprietor: No

Mailing Address

504 16th St

Huntington Beach, CA 926484014

Phone: 4255057263

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.