Elias & Jun Dental Corp

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

ELIAS & JUN DENTAL CORP

Doing business as

The Pacific Coast Center for Oral & Facial Surgery

Practice address

301 S. Fair Oaks Ave.
Ste 107
Pasadena, CA 91105

Phone

(626) 440-0099

Fax

(626) 440-1002

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Young Jun, DDS, M.D.

Title

Vice President

Phone

(818) 282-4021

Specialties & licenses 5

Addresses

Other names 1

• The Pacific Coast Center for Oral & Facial Surgery Doing business as

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1548778541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S. FAIR OAKS AVE.",
            "address_2": "STE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-440-0099",
            "fax_number": "626-440-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S. FAIR OAKS AVE.",
            "address_2": "STE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-440-0099",
            "fax_number": "626-440-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAS & JUN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-282-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pacific Coast Center for Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Elgart, PH.D
• Mazin Elhadary, MD
• Bernard R Elhaj, PHARMD
• Eli Ezra Hospice Inc
• Karen Eliahu, MD
• Cristina Elias
• Francisca R Elias, LMFT
• Elijah's House TX Corp (Elijah's House Treatment Center)
• Elisa Chang MD Inc
• Elite Care Nursing

• Oral & Maxillofacial Surgery (D.M.D.) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.