NPIMap

Organization Active NPI

Jeong-Ho Roh DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1760828776
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52921 Issued in CA
Legal business name
JEONG-HO ROH DDS INC
Doing business as
La Brea Family Dental Group
Practice address
3400 S la Brea Ave
Los Angeles, CA 90016-5217
Phone
(323) 734-2284
Fax
(323) 734-3178
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Jeong-Ho Roh, D.D.S
Title
Owner
Phone
(323) 734-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52921 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 GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1760828776",
    "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": "JEONG-HO ROH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "ROH",
        "authorized_official_first_name": "JEONG-HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-734-2284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA BREA FAMILY DENTAL GROUP",
            "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 May 16, 2013; 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.