NPIMap

Organization Active NPI

Balin Sung DDS Inc

  • Dentist
  • La, CA
National Provider Identifier
1902969744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27492 Issued in CA
Legal business name
BALIN SUNG DDS INC
Practice address
5757 Wilshire Blvd
#355
La, CA 90036
Phone
(323) 936-2106
Fax
(323) 936-2108
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Balin Sung, DDSNPI 1801088810
Title
Dentist
Phone
(323) 936-2106

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 27492 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd
#355
La, CA 90036

Mailing address

5757 Wilshire Blvd
#355
La, CA 90036
Phone (323) 936-2106

National Provider Directory

National Provider Directory

Locations

5757 Wilshire Blvd
Ste 355
Los Angeles, CA 90036
Phone (323) 936-2106

Practitioners & affiliated clinicians

Practitioners 2

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902969744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "#355",
            "city": "LA",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "323-936-2106",
            "fax_number": "323-936-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "#355",
            "city": "LA",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "323-936-2106",
            "fax_number": "323-936-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALIN SUNG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "BALIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-936-2106",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.