Oh Jae Kwon Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OH JAE KWON DENTAL CORPORATION

Practice address

833 W Whittier Blvd
Montebello, CA 90640-4735

Phone

(909) 576-7175

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Oh Jae Kwon, DDS

Title

President

Phone

(909) 576-7175

Specialties & licenses 1

Addresses

Other names 1

• Clinica Dental Montebello Doing business as

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1356812689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "909-576-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "909-576-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH JAE KWON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OH JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-576-7175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Dental Montebello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry M Odono, DDS
• Lauren Tomiko Odono, D.D.S.
• Odou Medical Clinic, Inc.
• Mark William Odou, MD
• Rena Ogino, PA-C, MMS, MPH
• Patrick Keiji Ohara, D.D.S.
• Ma Kristina Lorayne Ojeda, NP
• Bolanle Abimbola Olajide, MD
• Steven Olguin, MFT
• Lourdes K. Olivares

• General Practice Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.