NPIMap

Organization Active NPI

Audrey Jung-Sun Yoon DDS Ms Dental Corp

  • Dentist
  • Daly City, CA
National Provider Identifier
1245683192
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AUDREY JUNG-SUN YOON DDS MS DENTAL CORP
Practice address
343 Gellert Blvd
Ste C
Daly City, CA 94015-2663
Phone
(650) 992-7001
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Audrey Yoon
Title
Owner
Phone
(650) 992-7001

Specialties & licenses 1

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

Addresses

Primary practice location

343 Gellert Blvd
Ste C
Daly City, CA 94015-2663

Mailing address

343 Gellert Blvd
Ste C
Daly City, CA 94015-2663
Phone (650) 992-7001

National Provider Directory

National Provider Directory
Tax ID family
Audrey Jung-Sun Yoon Ddsms Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

343 Gellert Blvd
Ste C
Daly City, CA 94015
Phone (650) 992-7001

Practitioners & affiliated clinicians

Practitioners 3

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": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1245683192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 GELLERT BLVD",
            "address_2": "STE C",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152663",
            "telephone_number": "650-992-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 GELLERT BLVD",
            "address_2": "STE C",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152663",
            "telephone_number": "650-992-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY JUNG-SUN YOON DDS MS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-992-7001"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.