Yoonjung Hong, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

102258 Issued in CA

Practice address

1720 E Los Angeles Ave Ste 224
Simi Valley, CA 93065-2098

Phone

(805) 581-0144

NPI assigned

Apr 5, 2018

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

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.

• Yj Hong DDS, Inc.

  dba Garden Family Dental Group

  • Dental Clinic/Center
  • Garden Grove, CA
  • NPI 1568064954
  NPD Authorized official
• S.S. Kim, D.D.S., Inc.

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1477918811
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1104322288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N MARENGO AVE APT C",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918016726",
            "telephone_number": "415-314-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE STE 224",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652098",
            "telephone_number": "805-581-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "YOONJUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2021-07-06",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102258",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "102258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Holcomb
• Hollistic Hospice Services, Inc
• Denise Lu-Gee Hom, MD
• Home Bound Hospice Inc.
• Home Health Connect, Inc.
• Farrah Michelle Hooshmand
• Horizon Health Care Systems, Inc.
• Hoseah Hospice & Palliative Care Inc
• Hospice and Home Care, Inc (Guardian Angel Hospice, Inc)
• Hospice Care of the Valley, Inc

• Oral and Maxillofacial Surgery (Dentist) in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.