Organization Active NPI

Young Jun DDS MD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Placentia, CA
National Provider Identifier
1356720767
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
55513 Issued in CA
Legal business name
YOUNG JUN DDS MD INC
Practice address
601 E Yorba Linda Blvd
9
Placentia, CA 92870-3006
Phone
(714) 985-9690
Fax
(714) 985-1762
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Young Jun, DDS
Title
Owner/President
Phone
(714) 985-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 55513 CA Primary

Addresses

Primary practice location

601 E Yorba Linda Blvd
9
Placentia, CA 92870-3006

Mailing address

601 E Yorba Linda Blvd
9
Placentia, CA 92870-3006
Phone (714) 985-9690

National Provider Directory

National Provider Directory

Locations

601 E Yorba Linda Blvd
Ste 9
Placentia, CA 92870
Phone (714) 985-9690

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1356720767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD",
            "address_2": "9",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "714-985-9690",
            "fax_number": "714-985-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD",
            "address_2": "9",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "714-985-9690",
            "fax_number": "714-985-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG JUN DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-985-9690",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.