Jang Kil Yi, DDS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

28641 Issued in CA

Practice address

5914 Pacific BL
Huntington Park, CA 90255-2929

Phone

(323) 581-0100

Fax

(323) 581-2799

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jang Kil Yi DDS Professional Dental Corporation

  • Dentist
  • Huntington Park, CA
  • NPI 1588084040
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073641098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 PACIFIC BL",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552929",
            "telephone_number": "323-581-0100",
            "fax_number": "323-581-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 PACIFIC BL",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552929",
            "telephone_number": "323-581-0100",
            "fax_number": "323-581-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "JANG",
        "middle_name": "KIL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "28641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Yanagi
• Jennifer Yates
• Lena Chiyanne Yaun
• Reza Yazdi, MD
• Shoaleh Yermian, DO
• Anne Ying
• Teiriki Eric Yokoo, MD
• Arlynn Arceno Young, R.P.T.
• Myisha Young
• Sharday Tierria Young, MD

• General Practice Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.