NPIMap

Organization Active NPI

Westside Endodontics Inc

  • Endodontics
  • Los Angeles, CA
National Provider Identifier
1568897155
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
45489 Issued in CA
Legal business name
WESTSIDE ENDODONTICS INC
Practice address
2990 S Sepulveda Blvd
#304
Los Angeles, CA 90064-0002
Phone
(310) 575-4143
Fax
(310) 575-4092
NPI assigned
Sep 13, 2013
Last updated
Sep 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Dr. Kwor Loo, DDSNPI 1235356551
Title
Owner
Phone
(310) 575-4143

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
Endodontics 1223E0200X 45489 CA Primary

Addresses

Primary practice location

2990 S Sepulveda Blvd
#304
Los Angeles, CA 90064-0002

Mailing address

2990 S Sepulveda Blvd
#304
Los Angeles, CA 90064-0002
Phone (310) 575-4143

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1568897155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640002",
            "telephone_number": "310-575-4143",
            "fax_number": "310-575-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640002",
            "telephone_number": "310-575-4143",
            "fax_number": "310-575-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ENDODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "KWOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-575-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "45489",
            "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 Sep 13, 2013; 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.