KWANG S. KIM DDS, INC (NPI# 1427670603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427670603 |
Entity Type | Organization |
Organization Name | KWANG S. KIM DDS, INC |
Practice Address |
2135 Cypress Ave Los Angeles CA 90065-1212 |
Practice Telephone | 3232230731 |
Mailing Telephone | 3232230731 |
Enumeration Date | 2020-05-11 |
Last Update Date | 2020-05-11 |
Authorized Official Name | KWANG SEOB KIM (OWNER) |
Authorized Official Telephone | 3232230731 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
2135 CYPRESS AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90065-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679505077 | Dipti Dipak Achhnani | Dentist | 2135 Cypress Ave, Los Angeles, CA 90065-1212 | 2006-07-07 |
1942832308 | Timothy C Park | Dentist | 2135 Cypress Ave, Los Angeles, CA 90065-1212 | 2020-02-04 |
1861916900 | Cypress Dental Clinic | Clinic/Center | 2135 Cypress Ave, Los Angeles, CA 90065-1212 | 2017-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134613177 | Carmela Hermann Dietrich | Massage Therapist | 546 Frontenac Avenue, Los Angeles, CA 90065 | 2018-06-21 |
1245421981 | Kerry Glen Thorne | Marriage & Family Therapist | 3374 Scarboro St, Los Angeles, CA 90065 | 2007-08-07 |
1275654311 | Cal Care Ambulance Service | Ambulance | 2829 N. San Fernando Rd #203, Los Angeles, CA 90065 | 2007-04-03 |
1053430116 | Feliza Perez | Rehabilitation Practitioner | 2677 1/2 202 Ave, Huntington Park, CA 90065 | 2007-03-28 |
1154475382 | Grace O Serrano | Dentist | 4146 Verdugo Rd, Los Angeles, CA 90065 | 2007-01-23 |
1265532519 | Dae H Song | Dentist | 3129 San Fernando Rd, Los Angeles, CA 90065 | 2006-09-25 |
1730289737 | Calox Inc | Durable Medical Equipment & Medical Supplies | 3034 Fierro Street, Los Angeles, CA 90065 | 2006-09-22 |
1093224131 | Andre Marderosian | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065 | 2017-09-20 |
1710345491 | Golden Van Rides Inc. | Non-emergency Medical Transport (VAN) | 3920 Eagle Rock Blvd, Suite C, Los Angeles, CA 90065 | 2016-02-09 |
1841467396 | Highland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2648 N Figueroa St, Los Angeles, CA 90065-1026 | 2008-05-14 |
Find all providers in zip 90065 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417584186 | Nam Dental Corporation | Clinic/Center | 3663 W 6th St Ste 300, Los Angeles, CA 90020-3050 | 2020-03-24 |
1487294948 | Ebi Nikjoo Dds Inc | Clinic/Center | 10921 Wilshire Blvd Ste 601, Los Angeles, CA 90024-4003 | 2020-01-13 |
1548800576 | City Terrace Dental | Clinic/Center | 3604 E 1st St, Los Angeles, CA 90063-2326 | 2020-01-07 |
1801434196 | City Terrace Dental | Clinic/Center | 2407 N Broadway, Los Angeles, CA 90031-2218 | 2019-12-17 |
1437793445 | Baag, Lee & Chung Dental Corp. | Clinic/Center | 3224 W Olympic Blvd # 201, Los Angeles, CA 90006-2317 | 2019-11-01 |
1992348866 | Coleman Dental Associates Ca, A Dental Corporation | Clinic/Center | 221 Westwood Plaza Suite 211, Los Angeles, CA 90095-0001 | 2019-10-23 |
1427690825 | Pedram Sooferi Dds, Inc | Clinic/Center | 8930 S Sepulveda Blvd Ste 118, Los Angeles, CA 90045-3606 | 2019-10-17 |
1841846433 | P.sionat Dental Corp. | Clinic/Center | 1800 W 6th St Ste 2, Los Angeles, CA 90057-3139 | 2019-08-10 |
1326691320 | Linda B. Chen, Dds | Clinic/Center | 10814 Jefferson Blvd Ste G, Los Angeles, CA 90230-4988 | 2019-07-18 |
1912487372 | Donna Lieu Dds Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 1109, Los Angeles, CA 90048-5812 | 2018-08-15 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90065 |
Please comment or provide details below to improve the information on KWANG S. KIM DDS, INC.
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.