Hyungrim Oh, D.D.S., Inc

Primary specialty

DentistTaxonomy code 122300000X

License

50501 Issued in CA

Legal business name

HYUNGRIM OH, D.D.S., INC

Doing business as

Valley Family Dental Center

Practice address

14709 Rinaldi St
San Fernando, CA 91340-4138

Phone

(818) 361-1231

Fax

(818) 361-8487

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Hyungrim Oh, D.D.S.NPI 1588712665

Title

President/Dentist

Phone

(818) 361-1231

Specialties & licenses 1

Addresses

Other names 1

• Valley Family Dental Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyungrim Oh, D.D.S.

  • Dentist
  • San Fernando, CA
  • NPI 1588712665
  NPD (past) Authorized official

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1073938072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 RINALDI ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404138",
            "telephone_number": "818-361-1231",
            "fax_number": "818-361-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14709 RINALDI ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404138",
            "telephone_number": "818-361-1231",
            "fax_number": "818-361-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNGRIM OH, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "HYUNGRIM",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "818-361-1231",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.