United Dental Wilshire Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

UNITED DENTAL WILSHIRE CORPORATION

Practice address

3800 Wilshire Blvd Ste 207
Los Angeles, CA 90010-3231

Phone

(213) 386-6700

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Jeong Hoon Kim

Title

Ceo, Cfo, & Secretary

Phone

(213) 386-6700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1164791646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WILSHIRE BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WILSHIRE BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103231",
            "telephone_number": "213-386-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL WILSHIRE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "CEO, CFO, & SECRETARY",
        "authorized_official_telephone_number": "213-386-6700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.