Kay Kyunghwa Yoo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43673 Issued in CA

Practice address

2707 S Diamond Bar Blvd
Suite 201
Diamond Bar, CA 91765-3500

Phone

(909) 598-7225

Fax

(909) 598-2095

NPI assigned

Nov 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kay K. Yoo Dental Corporation

  • General Practice Dentistry
  • Diamond Bar, CA
  • NPI 1144492323
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295802585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 S DIAMOND BAR BLVD",
            "address_2": "SUITE 201",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653500",
            "telephone_number": "909-598-7225",
            "fax_number": "909-598-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 S DIAMOND BAR BLVD",
            "address_2": "SUITE 201",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653500",
            "telephone_number": "909-598-7225",
            "fax_number": "909-598-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "KAY",
        "middle_name": "KYUNGHWA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93277-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA HEALTHY FAMILY",
            "identifier": "B43673-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yeyongshin DO Inc
• Justin Harrison Yim
• Li Yin
• Bonnie Yoo, LCSW
• Hana Yoo
• Sung J Yoo, MD
• Young and Short, a Dental Corporation
• Jerry P. Young, D.D.S.
• Yu Care Medical Group, Inc.
• Yu Wei Chou, D.D.S., Inc. (Teeth 4 Kids Children Dentistry)

• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.