Gardina Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

28586 Issued in CA

Legal business name

GARDINA DENTAL CENTER

Practice address

15201 S. Western Ave.
Gardina, CA 90249

Phone

(310) 532-7323

Fax

(310) 532-7774

NPI assigned

Apr 9, 2007

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Seyoung Kim

Title

Dentist Owner

Phone

(310) 532-7323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1215050919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 S. WESTERN AVE.",
            "city": "GARDINA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-532-7323",
            "fax_number": "310-532-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 S. WESTERN AVE.",
            "city": "GARDINA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-532-7323",
            "fax_number": "310-532-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDINA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEYOUNG",
        "authorized_official_title_or_position": "DENTIST  OWNER",
        "authorized_official_telephone_number": "310-532-7323",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleta Marie Soron

• Dentist in Gardina, CA
• Providers in Gardina, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.