Charles Frimpong Kwakye, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

19264 Issued in CA

Practice address

12121 Wilshire Blvd. Suite1111
West Coast Dental Services
Los Angeles,, CA 90025

Phone

(310) 409-4265

NPI assigned

Jul 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1861833113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 RANWICK CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182042",
            "telephone_number": "408-267-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BLVD. SUITE1111",
            "address_2": "WEST COAST DENTAL SERVICES",
            "city": "LOS ANGELES,",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-409-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAKYE",
        "first_name": "CHARLES",
        "middle_name": "FRIMPONG",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "19264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myunghoon Kwak
• Sharon Kwak, PT
• Soon Kwak, M.D.
• Tae Hoon Kwak, L.AC.
• Youna L Kwak
• Kwan Kim, M.D., Inc.
• Agnes Kwan, MS CGC
• Benjamin C Kwan, M.D.
• Courtney Kwan, PH.D.
• Eric Kwan

• Dental Hygienist in Los Angeles,, CA
• Providers in Los Angeles,, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.