NPIMap

Organization Active NPI

Kwang S. Kim DDS, Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1427670603
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KWANG S. KIM DDS, INC
Practice address
2135 Cypress Ave
Los Angeles, CA 90065-1212
Phone
(323) 223-0731
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Kwang Seob KimNPI 1003035114
Title
Owner
Phone
(323) 223-0731

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2135 Cypress Ave
Los Angeles, CA 90065-1212

Mailing address

2135 Cypress Ave
Los Angeles, CA 90065-1212
Phone (323) 223-0731

National Provider Directory

National Provider Directory

Locations

2135 Cypress Ave
Los Angeles, CA 90065
Phone (323) 223-0731

Practitioners & affiliated clinicians

Practitioners 3

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": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1427670603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 CYPRESS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651212",
            "telephone_number": "323-223-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 CYPRESS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651212",
            "telephone_number": "323-223-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWANG S. KIM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "SEOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-223-0731"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.