Koa Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOA DENTAL

Practice address

3544 W Olympic Blvd Ste 118
Los Angeles, CA 90019-3529

Phone

(323) 735-0448

Fax

(323) 735-4827

NPI assigned

Feb 20, 2024

Organization subpart

Yes

Parent organization

BRIAN KANG DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Brian Young Kang, DDSNPI 1720330590

Title

President

Phone

(951) 533-1958

Specialties & licenses 1

Addresses

Part of

Koa Dental

Locations

Practitioners 1

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

• Brian Young Kang, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1720330590
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1841055688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W OLYMPIC BLVD STE 118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193529",
            "telephone_number": "323-735-0448",
            "fax_number": "323-735-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W OLYMPIC BLVD STE 118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193529",
            "telephone_number": "323-735-0448",
            "fax_number": "323-735-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN KANG DENTAL CORPORATION",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-533-1958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Ko, PHARM.D
• Yeong Min Ko
• Youjong Ko, MD
• Yuna Ko
• Ko's Acupuncture Clinic Inc
• Koa Rehab & Physical Therapy Center, Inc
• Chan M Koak
• Jenna K Kobara, OTR/L
• Jayne Kobashigawa
• Jon A Kobashigawa, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.