Sundo Ham, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62031 Issued in CA

Practice address

3800 Wilshire Blvd # 207
Los Angeles, CA 90010-3231

Phone

(213) 386-6700

Fax

(213) 386-6706

NPI assigned

Mar 17, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1659613610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W OLYMPIC BLVD",
            "address_2": "STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062859",
            "telephone_number": "213-386-6700",
            "fax_number": "213-386-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WILSHIRE BLVD # 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103231",
            "telephone_number": "213-386-6700",
            "fax_number": "213-386-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "SUNDO",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-17",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Halsted
• Renata Vieira Halwani, LPCC
• Hae Jin Ham
• Maggie Youngha Ham, M.D.
• Shannon Ham, CASE MANAGER
• Hama Acu Corp
• Brianne Hama, DDS
• April Naomi Hamachi
• Hanan Hamad, AUD
• Yusuke Hamada, D.D.S, M.S.D,

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.