NPIMap

Organization Active NPI

Bralipisut Asadamongkol DDS Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1902697386
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRALIPISUT ASADAMONGKOL DDS INC.
Practice address
5065 Hollywood Blvd Ste 205
Los Angeles, CA 90027-6122
Phone
(323) 666-9881
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Dr. Bralipisut Asadamongkol, DDSNPI 1902432933
Title
Owner
Phone
(626) 556-3598

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

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

Mailing address

5065 Hollywood Blvd Ste 205
Los Angeles, CA 90027-6122
Phone (323) 666-9881

National Provider Directory

National Provider Directory

Locations

5065 Hollywood Blvd
Ste 205
Los Angeles, CA 90027
Phone (323) 666-9881

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1902697386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 HOLLYWOOD BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276122",
            "telephone_number": "323-666-9881"
        },
        {
            "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": {
        "organization_name": "BRALIPISUT ASADAMONGKOL DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "ASADAMONGKOL",
        "authorized_official_first_name": "BRALIPISUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-556-3598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 May 14, 2025; 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.