Jessica M Pyun, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63880 Issued in CA

Practice address

3060 Baldwin Park Blvd Ste D100
Baldwin Park, CA 91706-4704

Phone

(626) 813-4488

NPI assigned

Oct 6, 2014

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

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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1396148334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 LINCOLN BLVD",
            "address_2": "APT 108",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 BALDWIN PARK BLVD STE D100",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064704",
            "telephone_number": "626-813-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYUN",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith Pye, LCSW
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• Khai T Quach, PHARM.D.
• Vicki W Quan, D.O.
• Beatrice Quezada, MD
• Edielyn Layag Quijano, NP

• General Practice Dentistry in Baldwin Park, CA
• Providers in Baldwin Park, 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 Oct 6, 2014; 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.