BEOMSONG SUH (NPI# 1245414358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245414358 |
| Entity Type | Individual |
| Full Name | BEOMSONG SUH |
| Credential | D.D.S. |
| Practice Address |
409 Kearney St El Cerrito CA 94530-3656 |
| Practice Telephone | 5105263790 |
| Mailing Telephone | 5105263790 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47188 | CA | Dental Providers |
| Street Address |
409 KEARNEY ST |
| City | EL CERRITO |
| State | CA |
| Zip Code | 94530-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154505261 | Jennifer Dongeun Lee | Dentist | 409 Kearney St, El Cerrito, CA 94530-3656 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659034 | Laura Penna Firme | Acupuncturist | 10329 San Pablo Ave, El Cerrito, CA 94530 | 2019-10-01 |
| 1306490941 | Caroline Danielle Storer | Social Worker | 11175 San Pablo Avenue, El Cerrito, CA 94530 | 2019-08-01 |
| 1063987519 | Ellen Sue Friedman | Marriage & Family Therapist | 139 Ashbury Ave., El Cerrito, CA 94530 | 2018-10-11 |
| 1568947653 | Melissa Azzolino | Behavioral Analyst | 320 Ashbury Avenue, El Cerrito, CA 94530 | 2018-09-25 |
| 1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
| 1619413887 | Georgia B Cardwell | Counselor | 3319 Carlson Blvd, El Cerrito, CA 94530 | 2017-01-12 |
| 1477924959 | Amrit Kaur Khalsa | Registered Nurse | 2218 Lawrence St, El Cerrito, CA 94530 | 2015-10-09 |
| 1003209933 | Leticia Mariana Gonzalez | Nurse Practitioner | Planned Parenthood El Cerrito Health Center, 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2015-03-17 |
| 1740505262 | Planned Parenthood Shasta Diablo Inc | Clinic/Center | 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2010-03-29 |
| 1770705444 | John D. Ford, Dds & Vincent J. Ford, Dds, Inc. | Dentist | 7001 Stockton Ave., El Cerrito, CA 94530 | 2007-05-03 |
| Find all providers in zip 94530 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609393206 | Amardeep Gill and Reymond Bautista Dental Corporation | Dentist | 170 El Cerrito Plz, El Cerrito, CA 94530-4002 | 2017-08-24 |
| 1851725030 | Shayan Malayeri Bayat | Dentist | 638 Clayton Ave, El Cerrito, CA 94530-3232 | 2013-08-24 |
| 1700044823 | James Yoneo Tanaka | Dentist | 11368 San Pablo Ave, El Cerrito, CA 94530-2135 | 2008-05-27 |
| 1033314992 | Mark C Perez | Dentist | 6318 Fairmount Ave, El Cerrito, CA 94530-3648 | 2007-06-19 |
| 1770705444 | John D. Ford, Dds & Vincent J. Ford, Dds, Inc. | Dentist | 7001 Stockton Ave., El Cerrito, CA 94530 | 2007-05-03 |
| 1760517809 | Richard A Farrell | Dentist | 109 Pomona Ave, El Cerrito, CA 94530-4136 | 2007-02-22 |
| 1184764722 | Raymond Aunglwin Yu | Dentist | 10321 San Pablo Ave, El Cerrito, CA 94530-3113 | 2007-02-06 |
| 1740349570 | Joan Seet | Dentist | 10102 San Pablo Ave, El Cerrito, CA 94530-3510 | 2006-12-07 |
| 1225136005 | Aaron Escalante | Dentist | 901 Kearney St, El Cerrito, CA 94530-2810 | 2006-09-20 |
| 1386658599 | Alan Liu | Dentist | 10116 San Pablo Ave, El Cerrito, CA 94530-3510 | 2006-07-27 |
| Find all providers in EL CERRITO | ||||
| City | EL CERRITO |
| Zip Code | 94530 |
Please comment or provide details below to improve the information on BEOMSONG SUH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.