Kevin Seungjoon Hyun D.D.S. Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

61659 Issued in CA

Legal business name

KEVIN SEUNGJOON HYUN D.D.S. INC

Practice address

11899 Del Amo Blvd
Cerritos, CA 90703-7605

Phone

(562) 402-4411

Fax

(562) 606-0119

NPI assigned

Apr 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Hyun

Title

President

Phone

(714) 414-7711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533945600000",
    "number": "1508354184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11899 DEL AMO BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037605",
            "telephone_number": "562-402-4411",
            "fax_number": "562-606-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11899 DEL AMO BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037605",
            "telephone_number": "562-402-4411",
            "fax_number": "562-606-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN SEUNGJOON HYUN D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-08-11",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-414-7711",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A. Keipp, M.D.
• Timothy J. Kelemen, D.C.
• Kenneth G Wys MD PC
• Katharine Greer Kent, NP
• Leslie Kerr
• Mathew Khamis, O.D.
• Basharat Khan, LMFT
• Nawazish Ali Khan, MD
• John Khoury, MD
• Sami E. Khoury, M.D.

• Dental Clinic/Center in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.