Sung Joon Yun, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54495 Issued in CA

Practice address

1423 E Gage Ave Ste a
Los Angeles, CA 90001-1771

Phone

(323) 983-4000

Fax

(323) 983-4007

NPI assigned

Feb 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Come Dental, LLC

  • General Practice Dentistry
  • Englewood, NJ
  • NPI 1063689743
  Authorized official Same address or phone
• Cohen Sedgh, Manavi & Pakravan Dental Corporation

  dba West Coast Dental Group of Gage

  • Dentist
  • Los Angeles, CA
  • NPI 1689919995
  NPD (past)
• Ryan Sein Chein Lee Dental Corporation

  dba West Coast Dental Group of Gage

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1831316140
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063550242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N MADISON AVE # 232",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011640",
            "telephone_number": "347-886-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E GAGE AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011771",
            "telephone_number": "323-983-4000",
            "fax_number": "323-983-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "SUNG",
        "middle_name": "JOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myoungjun Yun
• Natalie Yun
• Seung Wook Yun, D.C.
• Steven Yun, DDS
• Steven M Yun, PT
• Young in Yun
• Youngho Yun, DDS
• Yunan Radiology Medical Group Inc
• Yung Soon Ahn
• Anthony Yung, LMFT

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.