NPIMap

Organization Active NPI

Jong Soon Yoon DMD Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1215360458
Registry record updated Aug 12, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55389 Issued in CA
Legal business name
JONG SOON YOON DMD INC
Practice address
500 S Virgil Ave Ste 305
Los Angeles, CA 90020-1446
Phone
(213) 382-9800
Fax
(213) 382-9801
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Mr. Jong Soon Yoon, DMD
Title
President
Phone
(213) 382-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55389 CA Primary

Addresses

Primary practice location

500 S Virgil Ave Ste 305
Los Angeles, CA 90020-1446

Mailing address

500 S Virgil Ave Ste 305
Los Angeles, CA 90020-1446
Phone (213) 382-9800

National Provider Directory

National Provider Directory

Locations

500 S Virgil Ave
Ste 305
Los Angeles, CA 90020
Phone (213) 382-9800

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1215360458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201446",
            "telephone_number": "213-382-9800",
            "fax_number": "213-382-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201446",
            "telephone_number": "213-382-9800",
            "fax_number": "213-382-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG SOON YOON DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JONG SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-382-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.