Jae Min Yoon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37959 Issued in CA

Practice address

620 S Glendale Ave
Suite K
Glendale, CA 91205-2331

Phone

(818) 500-8981

Fax

(818) 500-8982

NPI assigned

Apr 3, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104948181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S GLENDALE AVE",
            "address_2": "SUITE K",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052331",
            "telephone_number": "818-500-8981",
            "fax_number": "818-500-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S GLENDALE AVE",
            "address_2": "SUITE K",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052331",
            "telephone_number": "818-500-8981",
            "fax_number": "818-500-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JAE",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B37959",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deamber Christmas Yoakum
• William Conor Yonts
• Alice Soon Tack Yoon
• Allison Yoon, MD
• Esther Young Yoon, M.D.
• Yegi Kellie Yoon, MD
• York Therapy Services
• Cynthia Yoshikawa
• Rahaf Younan, RPH
• Young Headwaters

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 9, 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.