Jung Yoon Chang Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUNG YOON CHANG DENTAL CORP

Practice address

952 S Atlantic Blvd Ste a
Los Angeles, CA 90022-4091

Phone

(323) 263-9600

NPI assigned

Nov 14, 2021

Last updated

Nov 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jung Yoon Chang, DDSNPI 1346595113

Title

Ceo

Phone

(909) 348-3721

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung Yoon Chang

  • General Practice Dentistry
  • Redlands, CA
  • NPI 1346595113
  NPD Authorized official

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636848000000",
    "number": "1265198295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HAYDEN WAY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212323",
            "telephone_number": "909-348-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 S ATLANTIC BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224091",
            "telephone_number": "323-263-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG YOON CHANG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JUNG YOON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-348-3721",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346595113",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jung Acupuncture & Herbal Clinic
• Jung M. Bae, M.D., Inc.
• Jung Medical Center
• Jung Sook Kim Oriental Clinic (Dr. Jayne Kim Acupuncture Clinic)
• Jung Sun Lee (Kingsley Pharmacy)
• Ae Young Jung
• Ariel Eunji Jung, MD
• Brennan Jung
• Carrie Elizabeth Jung, M.D.
• Chan Suk Jung

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; 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.