Organization Active NPI

Dennis Son MD Inc

  • Vascular & Interventional Radiology Physician
  • Culver City, CA
National Provider Identifier
1922317155
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A83071 Issued in CA
Legal business name
DENNIS SON MD INC
Practice address
5317 Heritage PL
Culver City, CA 90230-4986
Phone
(310) 713-9601
NPI assigned
Oct 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dennis Hyun Son, M.D.
Title
President
Phone
(310) 713-9601

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X A83071 CA
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X A83071 CA
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X A83071 CA Primary

Addresses

Primary practice location

5317 Heritage PL
Culver City, CA 90230-4986

Mailing address

5317 Heritage PL
Culver City, CA 90230-4986
Phone (310) 713-9601

National Provider Directory

National Provider Directory

Locations

1505 Wilson Ter
Ste 260
Glendale, CA 91206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1922317155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 HERITAGE PL",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304986",
            "telephone_number": "310-713-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 HERITAGE PL",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304986",
            "telephone_number": "310-713-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS SON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-713-9601",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A83071",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A83071",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A83071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.