NPIMap

Organization Active NPI

Young Kim Dental Group of Westmoreland Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1992079693
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31939 Issued in CA
Legal business name
YOUNG KIM DENTAL GROUP OF WESTMORELAND INC
Practice address
900 S. Westmoreland Ave
Suite #206
Los Angeles, CA 90006
Phone
(213) 352-1166
Fax
(714) 772-4434
NPI assigned
Feb 28, 2012
Organization subpart
Yes
Parent organization
YOUNG KIM, DDS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Dr. Young Kim, D.D.S
Title
Owner/ Dentist
Phone
(714) 772-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31939 CA Primary

Addresses

Primary practice location

900 S. Westmoreland Ave
Suite #206
Los Angeles, CA 90006

Mailing address

900 S. Westmoreland Ave
Suite #206
Los Angeles, CA 90006
Phone (213) 352-1166

Other names 1

  • Bethesda Community Clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Young Kim Dental Group of Westmoreland Inc8 organizations share this tax ID, including this one
Part of
Young Kim Dental Group of Westmoreland Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1992079693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S. WESTMORELAND AVE",
            "address_2": "SUITE #206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "213-352-1166",
            "fax_number": "714-772-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S. WESTMORELAND AVE",
            "address_2": "SUITE #206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "213-352-1166",
            "fax_number": "714-772-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM DENTAL GROUP OF WESTMORELAND INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG KIM, DDS, INC.",
        "enumeration_date": "2012-02-28",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "714-772-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Community Clinic",
            "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 May 10, 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.