Kiwon Youn DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

64609 Issued in CA

Legal business name

KIWON YOUN DDS INC

Practice address

18250 Colima Rd.
#201
Rowland Heights, CA 91748-2618

Phone

(626) 964-2875

Fax

(626) 964-1033

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Kiwon Youn, D.D.SNPI 1548616972

Title

Ceo

Phone

(626) 964-2875

Specialties & licenses 1

Addresses

Other names 1

• California Dentistry and Braces Dental Group Doing business as

Practitioners 1

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

• Kiwon Youn, DDS

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1548616972
  NPD (past) Authorized official

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1609366582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 COLIMA RD.",
            "address_2": "#201",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482618",
            "telephone_number": "626-964-2875",
            "fax_number": "626-964-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 COLIMA RD.",
            "address_2": "#201",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482618",
            "telephone_number": "626-964-2875",
            "fax_number": "626-964-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIWON YOUN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "YOUN",
        "authorized_official_first_name": "KIWON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-964-2875",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "64609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Dentistry and Braces Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Dentistry and Braces Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seong Han Kim, D.C.
• Sungkoo Kim, DDS
• Tae-Soon Kim, MD
• Kimberly Shih O.D., Inc
• King'S Acupuncture Inc.
• Kiwon Youn DDS Inc
• Jin Shim Ko, ACUPUNCTURIST
• Heejung Koh, O.D.
• Chelsey Kosbar
• Cassandra Kosty

• Dentist in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.