HB Cho DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

64165 Issued in CA

Legal business name

HB CHO DDS, INC

Doing business as

Pacific Kids Dental

Practice address

6115 Pacific Blvd
Huntington Park, CA 90255

Phone

(323) 844-3368

NPI assigned

Oct 7, 2015

Last updated

Jul 19, 2021By 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. Hyunbae Cho, DDSNPI 1619386174

Title

President

Phone

(520) 904-8909

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Kids Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyunbae Cho, D.D.S.

  • Dentist
  • Huntington Park, CA
  • NPI 1619386174
  NPD Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1477923100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-844-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-844-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HB CHO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "HYUNBAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-904-8909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "64165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL RENDERING PROVIDER NPI",
            "identifier": "1619386174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.