Mylena Ji, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

58370 Issued in CA

Practice address

25346 Crenshaw Blvd
#201
Torrance, CA 90505-6100

Phone

(310) 326-4691

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1548593429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25346 CRENSHAW BLVD",
            "address_2": "#201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056100",
            "telephone_number": "310-326-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25346 CRENSHAW BLVD",
            "address_2": "#201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056100",
            "telephone_number": "310-326-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "MYLENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25320",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Jeter
• Tamea Janell Jeter
• Lisa Lynn Jewell, MD
• Jewish Family Service of Los Angeles
• Eunice Jho
• Ping Ji, M.D.
• Sang Yong Ji, M.D.
• Yue Jia, MD, PHD
• Eric Michael Jiang, DO
• Syed Moinuddin Jilani, MD

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.