NPIMap

Organization Active NPI

Kilpyung Auh DDS a Professional Corporation

Doing business as La Brea Family Dental Practice

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1760602635
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26300 Issued in CA
Legal business name
KILPYUNG AUH DDS A PROFESSIONAL CORPORATION
Doing business as
La Brea Family Dental Practice
Practice address
3400 S la Brea Ave
Los Angeles, CA 90016-5217
Phone
(323) 734-2284
Fax
(323) 734-3178
NPI assigned
Apr 26, 2007
Last updated
Nov 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Kilpyung Auh, D.D.S.NPI 1922125863
Title
President / Officer
Phone
(323) 734-2284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26300 CA Primary

Addresses

Primary practice location

3400 S la Brea Ave
Los Angeles, CA 90016-5217

Mailing address

3400 S la Brea Ave
Los Angeles, CA 90016-5217
Phone (323) 734-2284

Other names 1

  • La Brea Family Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

3400 S La Brea Ave
Los Angeles, CA 90016
Phone (323) 734-2284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1760602635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165217",
            "telephone_number": "323-734-2284",
            "fax_number": "323-734-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165217",
            "telephone_number": "323-734-2284",
            "fax_number": "323-734-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILPYUNG AUH DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "AUH",
        "authorized_official_first_name": "KILPYUNG",
        "authorized_official_title_or_position": "PRESIDENT / OFFICER",
        "authorized_official_telephone_number": "323-734-2284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Brea Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.