Socal Pediatric Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SOCAL PEDIATRIC DENTAL GROUP

Practice address

3661 Torrance Blvd Ste 105
Torrance, CA 90503-4881

Phone

(310) 543-3292

NPI assigned

Feb 26, 2019

Last updated

Feb 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kleinman, DDS

Title

Owner/Dentist

Phone

(310) 543-3292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1427515477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD STE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034881",
            "telephone_number": "310-543-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD STE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034881",
            "telephone_number": "310-543-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL PEDIATRIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-543-3292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• So Bay Urology Med GRP
• George So, M.D.
• Il Young So
• Jiyun So
• Rose So, PSYD
• Socal Prestige Surgical Institute
• Social Science Consulting
• Julie Soderberg, MPT, ATC
• Clark Torsten Soderlund, M.D.
• Soft Heart Assisted Living LLC

• Pediatric Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.