Organization Active NPI

Mi Young Han

  • Dentist
  • South Gate, CA
National Provider Identifier
1831393933
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41416 Issued in CA
Legal business name
MI YOUNG HAN
Practice address
5720 Imperial Hwy
G
South Gate, CA 90280-7514
Phone
(562) 869-5554
Fax
(562) 869-0768
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Mi Young Han, DDS
Title
Owner
Phone
(562) 869-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41416 CA Primary

Addresses

Primary practice location

5720 Imperial Hwy
G
South Gate, CA 90280-7514

Mailing address

5720 Imperial Hwy
G
South Gate, CA 90280-7514
Phone (562) 869-5554

Other names 1

  • Imperial Dental Ctr Doing business as

National Provider Directory

National Provider Directory

Locations

5720 Imperial Hwy
Ste G
South Gate, CA 90280
Phone (562) 869-5554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1831393933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 IMPERIAL HWY",
            "address_2": "G",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902807514",
            "telephone_number": "562-869-5554",
            "fax_number": "562-869-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 IMPERIAL HWY",
            "address_2": "G",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902807514",
            "telephone_number": "562-869-5554",
            "fax_number": "562-869-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI YOUNG HAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "MI",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-869-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Dental Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.