Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-12-19
- Last updated
- 2020-08-22
Specialties
Licenses
- License CA
- 27492
Location
- Practice location
- 5757 WILSHIRE BLVD, #355
- City
- LA CA
- Postal code
- 90036
- Phone
- 323-936-2106
Organization contact
- Name
- BALIN SUNG
- Title
- Dentist
- Phone
- 3239362106
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.