Organization Active NPI

Seo Kyung Oh DDS, Inc

  • Dental Clinic/Center
  • Glendale, CA
National Provider Identifier
1134827983
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEO KYUNG OH DDS, INC
Practice address
500 N Central Ave Ste 760
Glendale, CA 91203-3344
Phone
(818) 240-3368
NPI assigned
Feb 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Dr. Seo Kyung Oh, DDSNPI 1285280131
Title
Owner
Phone
(714) 232-2034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

500 N Central Ave Ste 760
Glendale, CA 91203-3344

Mailing address

500 N Central Ave Ste 760
Glendale, CA 91203-3344
Phone (818) 240-3368

Other names 1

  • Ellen S. Oh DDS Doing business as

National Provider Directory

National Provider Directory

Locations

500 N Central Ave
Ste 760
Glendale, CA 91203
Phone (818) 240-3368

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1134827983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 760",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033344",
            "telephone_number": "818-240-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 760",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033344",
            "telephone_number": "818-240-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEO KYUNG OH DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SEO KYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-232-2034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellen S. Oh DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.