James Y Kahng DDS, a California Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28170 Issued in CA

Legal business name

JAMES Y KAHNG DDS, A CALIFORNIA DENTAL CORPORATION

Practice address

12902 Victory Blvd
North Hollywood, CA 91606-2924

Phone

(818) 762-2378

Fax

(818) 762-3108

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

James Kahng

Title

Owner

Phone

(818) 762-2378

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1851716518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-762-2378",
            "fax_number": "818-762-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-762-2378",
            "fax_number": "818-762-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES Y KAHNG DDS, A CALIFORNIA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "KAHNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-762-2378"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 INDIVIDUAL NPI",
            "identifier": "1528134202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in North Hollywood, CA
• Providers in North Hollywood, 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 Aug 1, 2019; 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.