NPIMap

Organization Active NPI

Beom Mo Lee Dental Corp

  • General Acute Care Hospital
  • Los Angeles, CA
National Provider Identifier
1831395367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
46284 Issued in CA
Legal business name
BEOM MO LEE DENTAL CORP
Practice address
966 S Western Ave
207
Los Angeles, CA 90006-1013
Phone
(323) 734-2117
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beom Mo LeeNPI 1235122243
Title
Owner
Phone
(323) 734-3710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 46284 CA Primary

Addresses

Primary practice location

966 S Western Ave
207
Los Angeles, CA 90006-1013

Mailing address

966 S Western Ave
207
Los Angeles, CA 90006-1013

National Provider Directory

National Provider Directory
Tax ID family
Beom Mo Lee Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831395367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE",
            "address_2": "207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE",
            "address_2": "207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061013",
            "telephone_number": "323-734-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEOM MO LEE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BEOM",
        "authorized_official_middle_name": "MO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-734-3710"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "46284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; 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.