Bralipisut Asadamongkol, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103909 Issued in CA

Practice address

5065 Hollywood Blvd Ste 205
Los Angeles, CA 90027-6122

Phone

(323) 666-9881

NPI assigned

Mar 21, 2020

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bralipisut Asadamongkol DDS Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1902697386
  NPD Authorized official
• Revadee Tan Veranunt DDS

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1528811049
  NPD

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1902432933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 TEDFORD WAY",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542522",
            "telephone_number": "909-255-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 HOLLYWOOD BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276122",
            "telephone_number": "323-666-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADAMONGKOL",
        "first_name": "BRALIPISUT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clely Jennifer Arzu
• Judith Neomi Arzu, COTA
• Nirenny Arzu
• Jason Asabere
• Kwabena Asabere, DPHARM
• Amran Kaiser Asadi, MD
• Shahrzad Asadi
• Mariet Asadoorian, MD
• Miro Asadourian, MD
• Florence Asadurian, D.D.S.

• 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 21, 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.