Sun Young Sohn, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103123 Issued in CA

Practice address

1374 W Foothill Blvd # 2E
Rialto, CA 92376-4621

Phone

(909) 874-7444

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soyoung L. Kim DDS, Inc

  • General Practice Dentistry
  • Rialto, CA
  • NPI 1992173843
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1295201085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17060 HIDDEN TRAILS LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036795",
            "telephone_number": "909-963-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 W FOOTHILL BLVD # 2E",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764621",
            "telephone_number": "909-874-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHN",
        "first_name": "SUN YOUNG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Scott Smith
• Isais Wellington Smith
• Jane C Smith, LMFT
• Roselle Lonelle Smith
• Sochun Operation, Inc.
• Sol Cohen-Sedgh Dental Corporation
• Lizbeth Solano
• Jocelyn Zenelia Solis
• Joanne Solomon
• Diana Solorio

• Dentist in Rialto, CA
• Providers in Rialto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.