Woongchul Ha, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

31069 Issued in CA

Practice address

1096 N Western Ave Ste 201
Los Angeles, CA 90029-2340

Phone

(323) 466-0995

Fax

(323) 467-3279

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215146220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 N WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292340",
            "telephone_number": "323-466-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 N WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292340",
            "telephone_number": "323-466-0995",
            "fax_number": "323-467-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "WOONGCHUL",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seonho Ha, D.D.S.
• Stephanie Ha
• Trang Ha, OD
• Vincent Ha, DDS
• William Ha, PHARM.D
• Yen Kim Nguyen Ha, O.D.
• Irina Marie Haack, PMHNP
• Benjamin Haag
• Catalina Saldarriaga Haaga
• David A. Haake, M.D.

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.