Organization Active NPI

Audrey Jung-Sun Yoon DDS Ms Dental Corp

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1609229541
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AUDREY JUNG-SUN YOON DDS MS DENTAL CORP
Practice address
3460 Wilshire Blvd
#104
Los Angeles, CA 90010-2206
Phone
(213) 383-3460
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Audrey Yoon, DDSNPI 1083865646
Title
Owner
Phone
(213) 383-3460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3460 Wilshire Blvd
#104
Los Angeles, CA 90010-2206

Mailing address

3460 Wilshire Blvd
#104
Los Angeles, CA 90010-2206
Phone (213) 383-3460

National Provider Directory

National Provider Directory
Tax ID family
Audrey Jung-Sun Yoon Ddsms Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3460 Wilshire Blvd
Ste 104
Los Angeles, CA 90010
Phone (213) 383-3460

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1609229541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 WILSHIRE BLVD",
            "address_2": "#104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102206",
            "telephone_number": "213-383-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WILSHIRE BLVD",
            "address_2": "#104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102206",
            "telephone_number": "213-383-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY JUNG-SUN YOON DDS MS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-383-3460",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.