Organization Active NPI

Jonathan C Yeung DDS, a Professional Corporation

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1477756914
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47588 Issued in CA
Legal business name
JONATHAN C YEUNG DDS, A PROFESSIONAL CORPORATION
Practice address
7217 De Soto Ave
Canoga Park, CA 91303-1702
Phone
(818) 704-0749
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Jonathan C Yeung, DDS
Title
Ceo
Phone
(818) 704-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47588 CA Primary

Addresses

Primary practice location

7217 De Soto Ave
Canoga Park, CA 91303-1702

Mailing address

2324 El Capitan Ave
Arcadia, CA 91006-5111
Phone (818) 704-0749

National Provider Directory

National Provider Directory
Tax ID family
Jonathan C Yeung DDS a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7217 De Soto Ave
Canoga Park, CA 91303
Phone (818) 704-0749

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1477756914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 EL CAPITAN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065111",
            "telephone_number": "818-704-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 DE SOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031702",
            "telephone_number": "818-704-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN C YEUNG DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-704-0749",
        "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": "47588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.