NPIMap

Organization Active NPI

Song Hoe Koo DDS Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1821406471
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
51096 Issued in CA
Legal business name
SONG HOE KOO DDS INC
Practice address
3663 W 6TH St
#204
Los Angeles, CA 90020-3049
Phone
(213) 383-7500
Fax
(213) 383-6910
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Song Hoe Koo, DDS
Title
President
Phone
(213) 383-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 51096 CA Primary

Addresses

Primary practice location

3663 W 6TH St
#204
Los Angeles, CA 90020-3049

Mailing address

3663 W 6TH St
#204
Los Angeles, CA 90020-3049
Phone (213) 383-7500

Other names 1

  • Song Hoe Koo DDS Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

3663 W 6th St
Ste 204
Los Angeles, CA 90020
Phone (213) 383-7500

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1821406471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST",
            "address_2": "#204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203049",
            "telephone_number": "213-383-7500",
            "fax_number": "213-383-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST",
            "address_2": "#204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203049",
            "telephone_number": "213-383-7500",
            "fax_number": "213-383-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG HOE KOO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "SONG HOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-383-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Song Hoe Koo DDS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 28, 2014; 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.