Organization Active NPI

Dr Bryan Kim Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1124505094
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR BRYAN KIM INC
Practice address
1011 Arlington Ave
Los Angeles, CA 90019-3513
Phone
(213) 389-0937
Fax
(323) 735-1937
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Cindy Choi
Title
Manager
Phone
(213) 389-0938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1011 Arlington Ave
Los Angeles, CA 90019-3513

Mailing address

1011 Arlington Ave
Los Angeles, CA 90019-3513

Other names 1

  • Bryan Kim's Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

1011 Arlington Ave
Los Angeles, CA 90019
Phone (213) 389-0937

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1124505094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 ARLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 ARLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193513",
            "telephone_number": "213-389-0937",
            "fax_number": "323-735-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRYAN KIM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-389-0938"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan Kim's Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.