Organization Active NPI

Youngmo Kang Dental Corp

  • General Practice Dentistry
  • Los Alamitos, CA
National Provider Identifier
1356160758
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YOUNGMO KANG DENTAL CORP
Practice address
3532 Howard Ave Ste 203
Los Alamitos, CA 90720-3695
Phone
(562) 596-8615
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Youngmo KangNPI 1760611974
Title
Owner
Phone
(201) 953-4316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3532 Howard Ave Ste 203
Los Alamitos, CA 90720-3695

Mailing address

3532 Howard Ave Ste 203
Los Alamitos, CA 90720-3695
Phone (562) 596-8615

National Provider Directory

National Provider Directory

Locations

3532 Howard Ave
Ste 203
Los Alamitos, CA 90720
Phone (562) 596-8615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1356160758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 HOWARD AVE STE 203",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203695",
            "telephone_number": "562-596-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 HOWARD AVE STE 203",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203695",
            "telephone_number": "562-596-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGMO KANG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YOUNGMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-953-4316"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.