Active NPI
Balin Sung, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1801088810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27492
- Practice address
- 5757 Wilshire Blvd
#355
Los Angeles, CA 90036 - Phone
- (323) 936-2106
- Fax
- (323) 936-2108
- NPI assigned
- Aug 14, 2007
- Last updated
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27492 | CA | Primary |
Addresses
Primary practice location
5757 Wilshire Blvd
#355
Los Angeles, CA 90036
Mailing address
5757 Wilshire Blvd
#355
Los Angeles, CA 90036
Phone (323) 936-2106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27492 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balin Sung DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- La, CA
- NPI 1902969744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1801088810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 WILSHIRE BLVD",
"address_2": "#355",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90036",
"telephone_number": "323-936-2106",
"fax_number": "323-936-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WILSHIRE BLVD",
"address_2": "#355",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90036",
"telephone_number": "323-936-2106",
"fax_number": "323-936-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNG",
"first_name": "BALIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "27492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Sunflower Surgical Inc
- Sung H. Chin Therapeutic Adhc Services, Inc. (Genesis Rehab Therapy)
- Sung Sim Chiropractic and Acupuncture Inc. (valley chiropractic care)
- Sung Te Kim, M.D., Apc
- Sung-Nae Byun M D Medical Group Inc
- Eric C. Sung, DDS
- Gene Yong Sung, M.D.
- Hanna Sung, PHARMD
- Hyung M Sung, DC
- James Sung, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.