Active NPI
Hwang Dental Corporation
Doing business as Angel Dental Group Wilshire
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1821498981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44487
- Legal business name
- HWANG DENTAL CORPORATION
- Doing business as
- Angel Dental Group Wilshire
- Practice address
- 3540 Wilshire Blvd
Ste. 210
Los Angeles, CA 90010-2307 - Phone
- (213) 384-3389
- Fax
- (213) 381-7770
- NPI assigned
- Aug 26, 2014
- Last updated
- Aug 26, 2014
- Organization subpart
- Yes
- Parent organization
- ANGEL DENTAL GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kent Ki Sik Hwang, D.D.S.
- Title
- Dentist/President
- Phone
- (213) 384-3389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44487 | CA | Primary |
Addresses
Primary practice location
3540 Wilshire Blvd
Ste. 210
Los Angeles, CA 90010-2307
Mailing address
3540 Wilshire Blvd
Ste. 210
Los Angeles, CA 90010-2307
Phone (213) 384-3389
Other names 1
- Angel Dental Group Wilshire
National Provider Directory
National Provider Directory- Part of
- Angel Dental Group Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Los Angeles, CA
- NPI 1689186140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409011200000",
"number": "1821498981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 WILSHIRE BLVD",
"address_2": "STE. 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102307",
"telephone_number": "213-384-3389",
"fax_number": "213-381-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 WILSHIRE BLVD",
"address_2": "STE. 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102307",
"telephone_number": "213-384-3389",
"fax_number": "213-381-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HWANG DENTAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANGEL DENTAL GROUP, INC.",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A",
"authorized_official_last_name": "HWANG",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "KI SIK",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "213-384-3389",
"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": "44487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angel Dental Group Wilshire",
"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 Aug 26, 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.