Organization Active NPI

Dr John S Yun, D.M.D.

  • Periodontics
  • Diamond Bar, CA
National Provider Identifier
1619034535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
37962 Issued in CA
Legal business name
DR JOHN S YUN, D.M.D.
Practice address
750 N Diamond Bar Blvd
Suite 112
Diamond Bar, CA 91765-1023
Phone
(909) 861-7277
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John S Yun
Title
Owner
Phone
(909) 861-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 37962 CA Primary

Addresses

Primary practice location

750 N Diamond Bar Blvd
Suite 112
Diamond Bar, CA 91765-1023

Mailing address

750 N Diamond Bar Blvd
Suite 112
Diamond Bar, CA 91765-1023
Phone (909) 861-7277

National Provider Directory

National Provider Directory

Locations

750 N Diamond Bar Blvd
Ste 112
Diamond Bar, CA 91765
Phone (626) 802-5079

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619034535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N DIAMOND BAR BLVD",
            "address_2": "SUITE 112",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651023",
            "telephone_number": "909-861-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N DIAMOND BAR BLVD",
            "address_2": "SUITE 112",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651023",
            "telephone_number": "909-861-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN S YUN, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-861-7277",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "37962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.