Kyung Ok Yoon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43273 Issued in CA

Practice address

11727 Whittier Blvd
Whittier, CA 90601-3939

Phone

(562) 695-5112

Fax

(562) 695-1802

NPI assigned

Oct 12, 2006

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

Other identifiers 14

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346339868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11727 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013939",
            "telephone_number": "562-695-5112",
            "fax_number": "562-695-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11727 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013939",
            "telephone_number": "562-695-5112",
            "fax_number": "562-695-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "KYUNG OK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT PROVIDER(H",
            "identifier": "15615-1",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1897",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFE GUARD",
            "identifier": "97003101",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "963778",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL MANAGEMENT ORG",
            "identifier": "CA 7361",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED DENTAL CARE",
            "identifier": "13339",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (HMO)",
            "identifier": "556027",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D43273",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE",
            "identifier": "43107",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION DENTAL",
            "identifier": "6917",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGEM DENTAL GUARD",
            "identifier": "0002165",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA(HMO)",
            "identifier": "27132",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL HEALTHY FAMI",
            "identifier": "904255",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMILE SAVER",
            "identifier": "DJ17",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Duarte-White Provision Supplies
• Curtis Brian Yomtob, D.C., D.A.C.B.R.
• Heather Yoo, MS, PA-C
• Christie Yoon, PHARM.D.
• Gerald Heeko Yoon, M.D.
• Miwa Yoshida, DC
• Young Men'S Christian Association of Greater Whittier
• Colleen S Young, NP
• Rachel Youngdahl, M.ED., B.C.B.A.
• Your Choice Medical Supply, Inc.

• General Practice Dentistry in Whittier, CA
• Providers in Whittier, 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 8, 2007; 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.