Heivi Kim Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

63356 Issued in CA

Legal business name

HEIVI KIM DENTAL CORPORATION

Practice address

2321 E Florence Ave
Huntington Park, CA 90255-5620

Phone

(213) 718-0811

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Heivi Kim, DDSNPI 1295145548

Title

DDS/Owner

Phone

(213) 718-0811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Heivi Min Ryung Kim, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1295145548
  NPD Authorized official

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1982120721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555620",
            "telephone_number": "213-718-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555620",
            "telephone_number": "213-718-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5877 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900443741",
            "country_code": "US",
            "telephone_number": "213-718-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEIVI KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HEIVI",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "213-718-0811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "63356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Access for All Inc
• Health Access for All, Inc
• Health Access for All, Inc
• Health Care 2000
• Health Quest
• Kjersti Helberg
• Jennelle Marie Henderson
• Barbara Henriquez, MD
• Alejandra Hernandez
• Benjamin Nicholas Hernandez

• Dental Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.