Organization Active NPI

Kyung Sook Yu, DDS. Inc

  • General Practice Dentistry
  • La Habra, CA
National Provider Identifier
1457717423
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50698 Issued in CA
Legal business name
KYUNG SOOK YU, DDS. INC
Practice address
1370 S Beach Blvd Ste E
La Habra, CA 90631-1178
Phone
(562) 694-5850
Fax
(562) 694-5838
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Kyung Sook Yu, DDS
Title
Dentist/Owner
Phone
(562) 694-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50698 CA Primary

Addresses

Primary practice location

1370 S Beach Blvd Ste E
La Habra, CA 90631-1178

Mailing address

1370 S Beach Blvd Ste E
La Habra, CA 90631-1178
Phone (562) 694-5850

National Provider Directory

National Provider Directory

Locations

1370 S Beach Blvd
Ste E
La Habra, CA 90631
Phone (562) 694-5850

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1457717423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S BEACH BLVD STE E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906311178",
            "telephone_number": "562-694-5850",
            "fax_number": "562-694-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S BEACH BLVD STE E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906311178",
            "telephone_number": "562-694-5850",
            "fax_number": "562-694-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYUNG SOOK YU, DDS. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "KYUNG SOOK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "562-694-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.