NPIMap

Organization Active NPI

Pacific Ocean Dental Group,Hyun Sook Lim Dental Corporation

Doing business as Pacific Ocean Dental Group

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1154758258
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56187 Issued in CA
Legal business name
PACIFIC OCEAN DENTAL GROUP,HYUN SOOK LIM DENTAL CORPORATION
Doing business as
Pacific Ocean Dental Group
Practice address
5161 Pomona Blvd Ste 112
Los Angeles, CA 90022-1772
Phone
(323) 262-2600
Fax
(323) 262-2601
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Hyun Sook LimNPI 1629293865
Title
DDS
Phone
(323) 262-2600

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 56187 CA Primary

Addresses

Primary practice location

5161 Pomona Blvd Ste 112
Los Angeles, CA 90022-1772

Mailing address

5161 Pomona Blvd Ste 112
Los Angeles, CA 90022-1772
Phone (323) 262-2600

Other names 1

  • PACIFIC OCEAN DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

5161 Pomona Blvd
Ste 112
Los Angeles, CA 90022
Phone (323) 262-2600

Practitioners & affiliated clinicians

Practitioners 1

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1154758258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 POMONA BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221772",
            "telephone_number": "323-262-2600",
            "fax_number": "323-262-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 POMONA BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221772",
            "telephone_number": "323-262-2600",
            "fax_number": "323-262-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OCEAN DENTAL GROUP,HYUN SOOK LIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "HYUN SOOK",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "323-262-2600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC OCEAN DENTAL GROUP",
            "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 Oct 3, 2013; 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.