Hoover Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

35280 Issued in CA

Legal business name

HOOVER DENTAL CENTER

Practice address

1717 S Hoover St
Los Angeles, CA 90006-4964

Phone

(213) 747-6891

Fax

(213) 747-5512

NPI assigned

Apr 20, 2015

Last updated

Apr 20, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Soo Yew Kim DDS

Title

General Dentist

Phone

(213) 747-6891

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soo Yew Kim, D.D.S

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1912064429
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1023405719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064964",
            "telephone_number": "213-747-6891",
            "fax_number": "213-747-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064964",
            "telephone_number": "213-747-6891",
            "fax_number": "213-747-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOVER DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "KIM DDS",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "YEW",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "213-747-6891"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "35280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hoorizadeh, CHC
• Melodi Hoorizadeh, PHARMD
• Hooshang Tabibian Medical Corporation, Inc.
• Helia Hooshangi, D.D.S
• Hoover Clinica Urgencia
• Alyssa Ashley Hoover, MS
• Austin Hoover, D.D.S.
• Hope & Grace Dental Group
• Hope Community Mental Health Center, Inc.
• Hope Electrolysis

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.