Kayla Koo DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

56273 Issued in CA

Legal business name

KAYLA KOO DDS INC

Practice address

5680 Whittier Blvd
Commerce, CA 90022-4106

Phone

(323) 597-0000

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Kayla Koo

Title

Owner

Phone

(323) 597-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676764800000",
    "number": "1174990287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 WHITTIER BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900224106",
            "telephone_number": "323-597-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 WHITTIER BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900224106",
            "telephone_number": "323-597-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA KOO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-597-0000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark S Karmatz
• Tamara Kennick
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• Susan Lacole Killian

• Dental Clinic/Center in Commerce, CA
• Providers in Commerce, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.