Wisdom Dental la

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WISDOM DENTAL LA

Practice address

5255 Pomona Blvd Ste 12
Los Angeles, CA 90022-1774

Phone

(323) 728-9008

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Yung Chun Chen, DMDNPI 1598282428

Title

Owner

Phone

(909) 548-1356

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Yung Chun Chen, DMD

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1598282428
  NPD Authorized official
• Shawn Farshad Torbati, DDS SPECIALTY

  • Endodontics
  • La, CA
  • NPI 1639241839
  NPD (past)

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1699505511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12453 ROYAL OAKS DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398824",
            "telephone_number": "909-548-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 POMONA BLVD STE 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221774",
            "telephone_number": "323-728-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM DENTAL LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YUNG CHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-548-1356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wireless Diagnostic
• William Charles Wirshing, M.D.
• Edward Lawrence Wirt
• Hannah R Wirth, MD
• Paul Wirth, ROLFER, LMT
• Cooper Wise
• Kyna Wise
• Leanna Wise, M.D.
• Amy Wiseman, PSY.D.
• Damion Lajaun Wiseman

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.