Young Bae Kim D.D.S Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48624 Issued in CA

Legal business name

YOUNG BAE KIM D.D.S INC.

Doing business as

Barun Dental Group

Practice address

903 Crenshaw Blvd Ste 303
Los Angeles, CA 90019-1967

Phone

(323) 930-4800

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Young Bae KimNPI 1962664862

Title

Dentist

Phone

(323) 930-4800

Specialties & licenses 1

Addresses

Other names 1

• Barun Dental Group Doing business as

Locations

Practitioners 2

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.

• Youngbae Kim, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1962664862
  NPD (past) Authorized official
• Yu Chun Shin, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1083379812
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1801215710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191967",
            "telephone_number": "323-930-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG BAE KIM D.D.S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG BAE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-930-4800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barun Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Younes
• Fargol Limor Younesi, PHARMD
• Elena Younessi
• Maryam Mofarrah Younessi, PA-C
• Shohreh Younessian Pedouim, ACUPUNCTURIST
• Young Choi Dental Group
• Young Choi Medical Corporation
• Young H. Kim and Doil Kim DDS Inc (Doil Kim DDS MMSc Orthodontics)
• Young Kim Dental Group of Westmoreland Inc
• Young Kim, DDS, Inc. (Welcome Dentistry & Braces)

• 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 Sep 6, 2019; 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.