Young Joon Kim, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

57043 Issued in CA

Legal business name

YOUNG JOON KIM, DDS, INC

Practice address

14514 Ramona Blvd Ste 1
Baldwin Park, CA 91706-3361

Phone

(626) 337-4700

Fax

(626) 337-8133

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Young J Kim, D.D.S.

Title

Ceo

Phone

(626) 337-4700

Specialties & licenses 1

Addresses

Other names 1

• San Jose Young Dental Doing business as

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1598028136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14514 RAMONA BLVD STE 1",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063361",
            "telephone_number": "626-337-4700",
            "fax_number": "626-337-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14514 RAMONA BLVD STE 1",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063361",
            "telephone_number": "626-337-4700",
            "fax_number": "626-337-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG JOON KIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-337-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Young Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter W. Yeung, MD
• Christian Yi, MD
• Christopher Yo, MD
• Randy Mathias Yonai, PHARM.D.
• Rody A. Yoshinaka, MD
• Joyce C Young, SP
• Mariam A Youssef, PHARMD
• Nancy Pham Yu, MS, RD
• Tina F. Yu, MD
• CHI Man Yue, PHARM.D.

• Dental Clinic/Center in Baldwin Park, CA
• Providers in Baldwin Park, 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 Jun 19, 2012; 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.