Sue Eunsoo Ko, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53079 Issued in CA

Practice address

2625 E Florence Ave
Huntington Park, CA 90255-4756

Phone

(323) 277-9191

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scott an, DDS,Inc.

  • Dental Clinic/Center
  • Inglewood, CA
  • NPI 1902085921
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992856827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 ROBERT RD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053267",
            "telephone_number": "310-619-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554756",
            "telephone_number": "323-277-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "SUE",
        "middle_name": "EUNSOO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Sungbum Kim, D.D.S.
• Johnny Arthur Kingsbury, CERTIFY COUNSELOR
• Kiran N Setty DPM Inc
• Knee Shoulder Back Orthopedic Medical Group, a Professional Corporatio
• Harvey E. Knight
• Melody Kohanoff, DDS
• Anthony Kostallas, O.D.
• Kouesseu and Associates.Inc
• Kouesseu and Associates.Inc
• Kouesseu Support Foundation

• General Practice Dentistry in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.