Young Woong Chung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40345 Issued in CA

Practice address

16 E Fern Ave Ste E
Redlands, CA 92373-4000

Phone

(909) 793-2969

Fax

(909) 793-2960

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598968760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29151 WILLOWWOOD LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465403",
            "telephone_number": "909-863-0966",
            "fax_number": "909-793-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E FERN AVE STE E",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734000",
            "telephone_number": "909-793-2969",
            "fax_number": "909-793-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "YOUNG",
        "middle_name": "WOONG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Chung
• Pooreum Clara Chung
• Sae Hwan Chung, DDS
• Sunghyun Chung, MD
• Tyson Chung, PH.D.
• Danae Marie Ciesla
• Robert A Cimini, M.D.
• Megan A Cintron, SLPA
• Antonia Ciovica, PH.D.
• Citrus Counseling Services, Inc

• General Practice Dentistry in Redlands, CA
• Providers in Redlands, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.