Soo Hyun Kim DDS a Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56566 Issued in CA

Legal business name

SOO HYUN KIM DDS A DENTAL CORP

Practice address

7604 Reseda Blvd
Reseda, CA 91335-2822

Phone

(818) 343-3916

Fax

(818) 343-9640

NPI assigned

Apr 6, 2010

Last updated

Apr 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Soo-Hyun Kim

Title

Ceo

Phone

(818) 343-3916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1932424686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352822",
            "telephone_number": "818-343-3916",
            "fax_number": "818-343-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352822",
            "telephone_number": "818-343-3916",
            "fax_number": "818-343-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO HYUN KIM DDS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOO-HYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-343-3916",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Reseda, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.