NPIMap

Organization Active NPI

Han, Jang, Son & Suh, Dental Group, PC

Doing business as Wilshire Park Dental Group

  • Periodontics
  • Los Angeles, CA
National Provider Identifier
1275781932
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
HAN, JANG, SON & SUH, DENTAL GROUP, PC
Doing business as
Wilshire Park Dental Group
Practice address
3700 Wilshire Blvd
780
Los Angeles, CA 90010-2901
Phone
(213) 380-7900
Fax
(213) 382-3454
NPI assigned
Sep 5, 2008
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Dr. Lee Jay Harris, DDSNPI 1992844716
Title
Corporate Sec./ Exec. Director
Phone
(213) 380-7900

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X
Periodontics 1223P0300X Primary
Prosthodontics 1223P0700X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

3700 Wilshire Blvd
780
Los Angeles, CA 90010-2901

Mailing address

3700 Wilshire Blvd
780
Los Angeles, CA 90010-2901
Phone (213) 380-7900

Other names 1

  • Wilshire Park Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3700 Wilshire Blvd
Ste 780
Los Angeles, CA 90010
Phone (213) 380-7900

Practitioners & affiliated clinicians

Practitioners 9

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": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1275781932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD",
            "address_2": "780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102901",
            "telephone_number": "213-380-7900",
            "fax_number": "213-382-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD",
            "address_2": "780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102901",
            "telephone_number": "213-380-7900",
            "fax_number": "213-382-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN, JANG, SON & SUH, DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CORPORATE SEC./ EXEC. DIRECTOR",
        "authorized_official_telephone_number": "213-380-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Park Dental Group",
            "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 Sep 5, 2008; 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.