Active NPI
Jongsoon Yoon, D.M.D
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1487840351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55389
- Practice address
- 520 S. Virgil Ave Suite 101
Los Angeles, CA 90020 - Phone
- (213) 383-0010
- Fax
- (213) 383-0016
- NPI assigned
- Sep 24, 2007
- Last updated
- Apr 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55389 | CA | Primary |
Addresses
Primary practice location
520 S. Virgil Ave Suite 101
Los Angeles, CA 90020
Mailing address
520 S Virgil Ave Ste 101
Los Angeles, CA 90020-1425
Phone (213) 383-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jong S Yoon DMD Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1487840351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S VIRGIL AVE STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201425",
"telephone_number": "213-383-0010",
"fax_number": "213-383-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S. VIRGIL AVE SUITE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90020",
"telephone_number": "213-383-0010",
"fax_number": "213-383-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "JONGSOON",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.