Dongwuk Koh

Primary specialty

OpticianTaxonomy code 156FX1800X

License

195239 Issued in CA

Practice address

4790 Irvine Blvd Suit 105-180
Irvine, CA 92620

Phone

(562) 677-5541

Fax

(562) 202-5154

NPI assigned

Jun 11, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tiger & Lion Inc

  • Eyewear Supplier
  • La Habra, CA
  • NPI 1295333029
  NPD

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1285047886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD STE 105-180",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201973",
            "telephone_number": "562-677-5541",
            "fax_number": "562-202-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD SUIT 105-180",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92620",
            "telephone_number": "562-677-5541",
            "fax_number": "562-202-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "DONGWUK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "195239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Mingwei Koenig
• Mindy S Koenig, LISW
• Gina Kofman
• Koh Physical Therapy, Inc.
• Davis Y Koh, DPT, MBA, GCS, CSCS
• Maryam Kohanbani, RNFA,CNOR
• Diane Elizabeth Kohler, RDN
• Casey Kohn, LMFT
• Sudarsan Kollimuttathuillam, MD
• Gennady Kolodenker, DPM

• Optician in Irvine, CA
• Providers in Irvine, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.