Min Roh DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIN ROH DDS DENTAL CORPORATION

Practice address

3421 W 8TH St Ste 1
Los Angeles, CA 90005-5605

Phone

(714) 539-8275

Fax

(714) 539-8284

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Min Roh, D.D.S.

Title

Ceo

Phone

(818) 590-8478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1750873907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 8TH ST STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W 8TH ST STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055605",
            "telephone_number": "714-539-8275",
            "fax_number": "714-539-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN ROH DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "ROH",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-590-8478",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashonia Mims
• Akiko Mimura-Lazare, LCSW
• Keiko Lilly Mimura, MSN, APRN, BC
• Jenny Min Din
• Min Hee Oh, DDS, Inc.
• Min S. Park, M.D., Inc.
• Min Seok Kim DDS Inc
• Min Young Cha MD Inc
• Caroline Hyeyoung Min, RPH
• Crystal Lauren Min

• 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 Jun 4, 2018; 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.