Dr Kwak Yonsei Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

56261 Issued in CA

Legal business name

DR KWAK YONSEI DENTAL CORPORATION

Practice address

981 S Western Ave Ste 200a
Los Angeles, CA 90006-1080

Phone

(323) 731-0707

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Kyoung Whan Kwak, D.D.S.

Title

Ceo

Phone

(323) 731-0707

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1801397369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 S WESTERN AVE STE 200A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061080",
            "telephone_number": "323-731-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 S WESTERN AVE STE 200A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061080",
            "telephone_number": "323-731-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KWAK YONSEI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "KYOUNG",
        "authorized_official_middle_name": "WHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-731-0707",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.