Active NPI
Ki W Youn DDS Inc
- General Practice Dentistry
- Long Beach, CA
National Provider Identifier
1124681036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KI W YOUN DDS INC
- Practice address
- 5301 Atlantic Ave
Long Beach, CA 90805-6019 - Phone
- (626) 964-2875
- NPI assigned
- Apr 16, 2019
- Organization subpart
- Yes
- Parent organization
- KI W YOUN DDS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kiwon Youn
- Title
- General Dentist
- Phone
- (626) 964-2875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5301 Atlantic Ave
Long Beach, CA 90805-6019
Mailing address
18250 Colima Rd Ste 201
Rowland Heights, CA 91748-2618
Phone (626) 964-2875
National Provider Directory
National Provider Directory- Part of
- Ki W Youn DDS Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555372800000",
"number": "1124681036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18250 COLIMA RD STE 201",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482618",
"telephone_number": "626-964-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908056019",
"telephone_number": "626-964-2875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KI W YOUN DDS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KI W YOUN DDS INC",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A",
"authorized_official_last_name": "YOUN",
"authorized_official_first_name": "KIWON",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "626-964-2875",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.