Yang H Kim DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

48481 Issued in CA

Legal business name

YANG H KIM DDS INC

Practice address

4021 Florence Ave
Bell, CA 90201

Phone

(323) 560-6096

NPI assigned

Dec 18, 2013

Last updated

Aug 11, 2014By 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

Mrs. Paula Carrillo

Title

Office Manager

Phone

(909) 822-4363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1487075461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-560-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-560-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANG H KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-822-4363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bell, CA
• Providers in Bell, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.