Heejo Han

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64832 Issued in CA

Practice address

3700 Wilshire Blvd Ste 780
Los Angeles, CA 90010-3001

Phone

(213) 380-7900

NPI assigned

Jul 27, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hee Jo Han, DMD PLLC

  • Dental Clinic/Center
  • Alexandria, VA
  • NPI 1275263261
  NPD
• Han, Jang, Son & Suh, Dental Group, PC

  • Periodontics
  • Los Angeles, CA
  • NPI 1275781932

  General Practice

  NPD (past)
• WPD Dental Group

  • Periodontics
  • Los Angeles, CA
  • NPI 1982002002
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1740665165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 VETERAN AVE APT 215A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900248001",
            "telephone_number": "703-901-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD STE 780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103001",
            "telephone_number": "213-380-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "HEEJO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Jordan Han
• Gene Suk-Jin Han, M.D.
• Grace Sunmee Han
• Guangyu Han, M.S.O.M.
• Hannah Soyeon Han, AGACNP-BC
• Hyewon Han
• Hyosun Han, MD
• Hyosung Han, ATC
• In Bock Han, PHD
• Jane Sungmin Han, MD

• 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 Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.