NPIMap

Organization Active NPI

Dr. Hansung Bryan Kim, DDS Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1508278797
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
57655 Issued in CA
Legal business name
DR. HANSUNG BRYAN KIM, DDS INC.
Practice address
2727 W Olympic Blvd
Ste 311
Los Angeles, CA 90006-2637
Phone
(213) 365-2360
Fax
(213) 365-2368
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Han Sung Kim, D.D.S.NPI 1447484647
Title
President
Phone
(213) 365-2360

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 57655 CA Primary

Addresses

Primary practice location

2727 W Olympic Blvd
Ste 311
Los Angeles, CA 90006-2637

Mailing address

2727 W Olympic Blvd
Ste 311
Los Angeles, CA 90006-2637
Phone (213) 365-2360

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1508278797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "STE 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-365-2360",
            "fax_number": "213-365-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "STE 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-365-2360",
            "fax_number": "213-365-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HANSUNG BRYAN KIM, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-365-2360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57655",
            "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 22, 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.