Active NPI
Sam H. Yoon, MD
- Children's Hospital
- Lawndale, CA
National Provider Identifier
1053721092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- License
- 1063412005
- Legal business name
- SAM H. YOON, MD
- Practice address
- 4161 Redondo Beach Blvd
#100
Lawndale, CA 90260-3306 - Phone
- (310) 214-1407
- NPI assigned
- Apr 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Yoon
- Title
- President
- Phone
- (310) 214-1407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | 1063412005 | CA | Primary |
Addresses
Primary practice location
4161 Redondo Beach Blvd
#100
Lawndale, CA 90260-3306
Mailing address
4161 Redondo Beach Blvd
#100
Lawndale, CA 90260-3306
Phone (310) 214-1407
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A33684 | Medicaid | CA | |
| 00A336841 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398729600000",
"number": "1053721092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 REDONDO BEACH BLVD",
"address_2": "#100",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603306",
"telephone_number": "310-214-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 REDONDO BEACH BLVD",
"address_2": "#100",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603306",
"telephone_number": "310-214-1407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM H. YOON, MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A",
"authorized_official_last_name": "YOON",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-214-1407"
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "CA",
"license": "1063412005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A33684",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A336841",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.