Lakewood Omf Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

A87499 Issued in CA

Legal business name

LAKEWOOD OMF SURGERY, INC.

Practice address

4448 E Village Rd
Long Beach, CA 90808-1540

Phone

(562) 421-9369

Fax

(562) 420-8950

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Hwan Kim, M.D., D.D.S.NPI 1568479319

Title

President

Phone

(562) 421-9369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H Kim, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Long Beach, CA
  • NPI 1568479319
  NPD (past) Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1285927350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 E VILLAGE RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081540",
            "telephone_number": "562-421-9369",
            "fax_number": "562-420-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 E VILLAGE RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081540",
            "telephone_number": "562-421-9369",
            "fax_number": "562-420-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD OMF SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-421-9369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "A87499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean L Lake, M.D.
• Steven J Lake, MD
• Chanel Lyssia Lakeman
• Lakewood Eye Physicians and Surgeons Inc a Medical Group
• Lakewood Eye Physicians and Surgeons Inc a Medical Group
• Reshma A Lakhiani, MD
• Yvette Marie Lakkis, OD
• Leena Lakras
• Ana Lakshin
• Solomon Laktineh, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.