Steven Yun, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101703 Issued in CA

Practice address

147 N Berendo St
Los Angeles, CA 90004-4870

Phone

(209) 986-8530

NPI assigned

Apr 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chanjun Yun Former name

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.

• Steven Yun DDS Dental Corporation

  • Dental Clinic/Center
  • Huntington Park, CA
  • NPI 1386394617
  NPD Authorized official

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1306370796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 MISSION ST",
            "address_2": "501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031597",
            "telephone_number": "209-986-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N BERENDO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044870",
            "telephone_number": "209-986-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANJUN",
            "last_name": "YUN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Yun
• Mi Yun
• Myoungjun Yun
• Natalie Yun
• Seung Wook Yun, D.C.
• Steven M Yun, PT
• Sung Joon Yun, DDS
• Young in Yun
• Youngho Yun, DDS
• Yunan Radiology Medical Group Inc

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 3, 2022; 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.