NPIMap

Organization Active NPI

Moa Dental Group

  • Dental Clinic/Center
  • Torrance, CA
National Provider Identifier
1669604377
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53714 Issued in CA
Legal business name
MOA DENTAL GROUP
Practice address
3226 Sepulveda Blvd
Torrance, CA 90505-2719
Phone
(310) 530-2875
Fax
(310) 891-2828
NPI assigned
Aug 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Jongwook Lee, DDSNPI 1326259995
Title
President
Phone
(310) 530-2875

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 53714 CA Primary

Addresses

Primary practice location

3226 Sepulveda Blvd
Torrance, CA 90505-2719

Mailing address

3226 Sepulveda Blvd
Torrance, CA 90505-2719
Phone (310) 530-2875

National Provider Directory

National Provider Directory

Locations

3226 Sepulveda Blvd
Torrance, CA 90505
Phone (310) 530-2875

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": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1669604377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052719",
            "telephone_number": "310-530-2875",
            "fax_number": "310-891-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052719",
            "telephone_number": "310-530-2875",
            "fax_number": "310-891-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONGWOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-530-2875",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.