Active NPI
Yoo Sang Ahn
- General Practice Dentistry
- Buena Park, CA
National Provider Identifier
1104734664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 113532
- Practice address
- 5258 Beach Blvd Ste a
Buena Park, CA 90621-1276 - Phone
- (714) 522-5152
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 113532 | CA | Primary |
Addresses
Primary practice location
5258 Beach Blvd Ste a
Buena Park, CA 90621-1276
Mailing address
5258 Beach Blvd Ste a
Buena Park, CA 90621-1276
Phone (714) 522-5152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1104734664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5258 BEACH BLVD STE A",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211276",
"telephone_number": "714-522-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5258 BEACH BLVD STE A",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211276",
"telephone_number": "714-522-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "YOO SANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "113532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.