Ki-Sung Sung is a Periodontics in Glendale, California. Ki-Sung Sung practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ki-Sung Sung is 1962541540. The last update date is 2007-07-08.
Ki-Sung Sung's current location address is 960 Calle Del Pacifico, Glendale, California. You can contact this provider via phone number 9175838543. The mailing address for Ki-Sung Sung is 960 Calle Del Pacifico, Glendale, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ki-Sung Sung |
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Address | 960 Calle Del Pacifico, Glendale, California |
Phone Number | 9175838543 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1962541540 |
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Provider Enumeration Date | 2007-02-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 960 Calle Del Pacifico |
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City | Glendale |
State | California (CA) |
Post Code | 912083020 |
Phone Number | 9175838543 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 54908 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Ki-Sung Sung by the Centers for Medicare & Medicaid Services?
The Ki-Sung Sung has been assigned the NPI (National Provider Identifier) 1962541540 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ki-Sung Sung's facilities are situated?
The facilities of Ki-Sung Sung are physically located at the following address: 960 Calle Del Pacifico, Glendale, CA, 912083020.
What is Ki-Sung Sung's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ki-Sung Sung is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did Ki-Sung Sung receive its 1962541540 assignment from the Centers for Medicare & Medicaid Services?
The Ki-Sung Sung was assigned its 1962541540 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Ki-Sung Sung's information last updated?
The Ki-Sung Sung's information was last updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA