Active NPI
Young Jun DDS MD Inc
- Oral and Maxillofacial Surgery (Dentist)
- Placentia, CA
National Provider Identifier
1356720767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 55513
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.