Organization Active NPI

Joon Woo Sohn, DMD, PC

  • Dentist
  • La Mirada, CA
National Provider Identifier
1194575795
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JOON WOO SOHN, DMD, PC
Practice address
15651 Imperial Hwy Ste 201
La Mirada, CA 90638-1654
Phone
(805) 280-8818
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Joon Woo Sohn, DMDNPI 1497328843
Title
President
Phone
(805) 280-8818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15651 Imperial Hwy Ste 201
La Mirada, CA 90638-1654

Mailing address

3445 Washington Ave
El Monte, CA 91731-3111

National Provider Directory

National Provider Directory

Locations

15651 Imperial Hwy
Ste 201
La Mirada, CA 90638
Phone (562) 947-2555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1194575795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 WASHINGTON AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 201",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381654",
            "telephone_number": "805-280-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOON WOO SOHN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "JOON WOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-280-8818",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.