NPIMap

Organization Active NPI

Huang and Wu DDS Inc

Doing business as San Marino Dental Center

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1174682280
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41018 Issued in CA
Legal business name
HUANG AND WU DDS INC
Doing business as
San Marino Dental Center
Practice address
1901 W 8TH St
Suite E
Los Angeles, CA 90057-4900
Phone
(213) 483-8180
NPI assigned
Dec 6, 2006
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Dr. Shih-Yuan L. Huang, DDSNPI 1992836217
Title
Co-Owner,Ceo
Phone
(213) 483-8180

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41018 CA Primary
General Practice Dentistry 1223G0001X 45541 CA

Addresses

Primary practice location

1901 W 8TH St
Suite E
Los Angeles, CA 90057-4900

Mailing address

1901 W 8TH St
Suite E
Los Angeles, CA 90057-4900
Phone (213) 483-8180

Other identifiers 3

IdentifierTypeStateIssuer
D41018OtherCARENDERING PROVIDER #
G92054-01OtherCADENTI-CAL
D45541OtherCARENDERING PROVIDER #

Other names 1

  • SAN MARINO DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1901 W 8th St
Ste E
Los Angeles, CA 90057
Phone (213) 483-8180

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1174682280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W 8TH ST",
            "address_2": "SUITE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574900",
            "telephone_number": "213-483-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W 8TH ST",
            "address_2": "SUITE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574900",
            "telephone_number": "213-483-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUANG AND WU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "SHIH-YUAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-OWNER,CEO",
        "authorized_official_telephone_number": "213-483-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41018",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER #",
            "identifier": "D41018",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92054-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER #",
            "identifier": "D45541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN MARINO DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAN MARINO DENTAL CENTER",
            "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, 2020; 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.