Active NPI
Hoon Sagong, D.D.S.
- Endodontics
- Long Beach, CA
National Provider Identifier
1497165583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 64524
- Practice address
- 4241 Long Beach Blvd
Long Beach, CA 90807-2003 - Phone
- (562) 612-4320
- NPI assigned
- Apr 29, 2014
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 64524 | CA | Primary |
Addresses
Primary practice location
4241 Long Beach Blvd
Long Beach, CA 90807-2003
Mailing address
500 Lido PL
Fullerton, CA 92835-2442
Phone (714) 209-2671
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64524 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1497165583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LIDO PL",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352442",
"telephone_number": "714-209-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4241 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072003",
"telephone_number": "562-612-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGONG",
"first_name": "HOON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "64524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.