Individual provider Active NPI

Hanbit Joung

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1649840331
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106309 Issued in CA
Practice address
2939 Leeward Ave Apt 317
Los Angeles, CA 90005-4424
Phone
(612) 517-8108
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106309 CA Primary

Addresses

Primary practice location

2939 Leeward Ave Apt 317
Los Angeles, CA 90005-4424

Mailing address

2939 Leeward Ave Apt 317
Los Angeles, CA 90005-4424
Phone (612) 517-8108

Other practice location 1

1016 Washington Ave SE Apt 603
Minneapolis, MN 55414-4103
Phone (612) 517-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106309CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1649840331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 LEEWARD AVE APT 317",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054424",
            "telephone_number": "612-517-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 LEEWARD AVE APT 317",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054424",
            "telephone_number": "612-517-8108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Washington Ave SE Apt 603",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554144103",
            "country_code": "US",
            "telephone_number": "612-517-8108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOUNG",
        "first_name": "HANBIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106309",
            "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 5, 2021; 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.