James S Sunwoo, MD, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

64108 Issued in CA

Practice address

458 N Doheny Dr
#691848
West Hollywood, CA 90069-7563

Phone

(310) 770-7244

Fax

(917) 210-3767

NPI assigned

Nov 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1376796433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N DOHENY DR",
            "address_2": "#691848",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900697563",
            "telephone_number": "310-770-7244",
            "fax_number": "917-210-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N DOHENY DR",
            "address_2": "#691848",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900697563",
            "telephone_number": "310-770-7244",
            "fax_number": "917-210-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNWOO",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A103815",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "253116",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054382",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Rehab LLC
• Sunset Shoe Repair
• Sunset Smile Dental Corp
• Sunset Walk-in Healthcare & Occupational Medicine Clinic, PC
• Sunset Walk-in Healthcare and Occupational Medicine Clinic, PC
• Supreme Hospice and Palliative Care, Inc.
• Surgi Art
• Adam Surti, MD
• Daniel S. Sussman, PH.D.
• Spencer Max Sutherland, MD

• Dentist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.