Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lydia Koernianingsih, DDS

Individual provider Dentist · NPI 1083817423

Mrs. Lydia Koernianingsih, DDS is a Dentist in Santa Ana, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1125 E 17th St Ste W234
Santa Ana, CA 92701-2228
Phone: (714) 558-4895
Fax: (714) 558-4896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 48488 (CA)

Record details

NPI number1083817423
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020

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