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NPI 1376768648

OrganizationActive

A1caredental

NPI 1376768648 · Special Hospital · Carson, CA

Provider details

NPI number: 1376768648
Entity type: Organization
Primary specialty: Special HospitalHospitals
Authorized official: Jung Sim, Owner
License: 50371 (CA)

Practice location

602 W Sepulveda Blvd

Carson, CA 90745-6319

Phone: (310) 830-3338

Fax: (310) 830-3339

More CA providers

Mailing address

602 W Sepulveda Blvd

Carson, CA 90745-6319

Registry dates

Enumerated: 2007-04-13
Last updated: 2008-06-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

A1caredental — NPI 1376768648, Carson, CA | NPI Central