Organization Active NPI

Koo DDS Inc

  • Dentist
  • Panorama City, CA
National Provider Identifier
1396759668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35421 Issued in CA
Legal business name
KOO DDS INC
Practice address
8215 Van Nuys Blvd
Ste #220
Panorama City, CA 91402
Phone
(818) 782-8261
Fax
(818) 782-1693
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Grace H O Cho, DDSNPI 1356541080
Title
President
Phone
(818) 782-8261

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 35421 CA Primary

Addresses

Primary practice location

8215 Van Nuys Blvd
Ste #220
Panorama City, CA 91402

Mailing address

8215 Van Nuys Blvd
Ste #220
Panorama City, CA 91402
Phone (818) 782-8261

Other names 1

  • Grace Cho DDS Doing business as

National Provider Directory

National Provider Directory

Locations

8215 Van Nuys Blvd
Ste 220
Panorama City, CA 91402
Phone (818) 782-8261

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396759668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "STE #220",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-782-8261",
            "fax_number": "818-782-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "STE #220",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-782-8261",
            "fax_number": "818-782-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "H O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-782-8261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Cho DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.