Sung Koo Kim,DDS,Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

50764 Issued in CA

Legal business name

SUNG KOO KIM,DDS,INC.

Practice address

18887 Colima Rd
Rowland Heights, CA 91748-2940

Phone

(626) 810-8826

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Sung Koo Kim

Title

Ceo

Phone

(626) 810-8826

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1437523883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 NORTE VISTA DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18887 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482940",
            "telephone_number": "626-810-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG KOO KIM,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "KOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-810-8826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peter Sun, L.AC.
• Tina Feng-Pei Sun, DDS
• Sunil M. Dissanayake MD a Professional Corporation
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• Anais Sustayta
• Maximus Sweeney

• Dental Clinic/Center in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.