NPIMap

Organization Active NPI

Min Suk Chang,DDS,Inc

Doing business as Montebello Dental Center

  • General Acute Care Hospital
  • Montebello, CA
National Provider Identifier
1639322068
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
51048 Issued in CA
Legal business name
MIN SUK CHANG,DDS,INC
Doing business as
Montebello Dental Center
Practice address
2332 W Whittier Blvd
Montebello, CA 90640-3039
Phone
(323) 838-8055
Fax
(323) 838-8057
NPI assigned
Oct 29, 2008
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MIN SUK CHANG,DDS,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Philip Minsuk Chang, D.D.S.
Title
C.E.O.
Phone
(310) 850-0324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 51048 CA Primary

Addresses

Primary practice location

2332 W Whittier Blvd
Montebello, CA 90640-3039

Mailing address

2332 W Whittier Blvd
Montebello, CA 90640-3039
Phone (323) 838-8055

Other names 1

  • MONTEBELLO DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Min Suk Changddsinc2 organizations share this tax ID, including this one
Part of
Min Suk Changddsinc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1639322068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403039",
            "telephone_number": "323-838-8055",
            "fax_number": "323-838-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403039",
            "telephone_number": "323-838-8055",
            "fax_number": "323-838-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN SUK CHANG,DDS,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIN SUK CHANG,DDS,INC",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "MINSUK",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "310-850-0324",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "51048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTEBELLO DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.