NPIMap

Organization Active NPI

Kim, Ha, and Sagong Dental Corp

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
National Provider Identifier
1962829143
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KIM, HA, AND SAGONG DENTAL CORP
Practice address
266 S Harvard Blvd Ste 220
Los Angeles, CA 90004-3854
Phone
(213) 999-7590
Fax
(213) 797-5579
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Dr. Jee Hoon Ha, DDS
Title
Vice President
Phone
(213) 550-8701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

266 S Harvard Blvd Ste 220
Los Angeles, CA 90004-3854

Mailing address

266 S Harvard Blvd Ste 220
Los Angeles, CA 90004-3854
Phone (213) 999-7950

Other names 2

  • Oral MaxillofacialSurgery Institute - Los Angeles Doing business as
  • David Kim, MD, DDS, Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@omsi-la.com Direct

National Provider Directory

National Provider Directory

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": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1962829143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043854",
            "telephone_number": "213-999-7950",
            "fax_number": "213-797-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043854",
            "telephone_number": "213-999-7590",
            "fax_number": "213-797-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM, HA, AND SAGONG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "JEE HOON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "213-550-8701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@omsi-la.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "266 S Harvard Ave",
            "address_2": "220",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Oral MaxillofacialSurgery Institute - Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "David Kim, MD, DDS, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 29, 2022; 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.