Hye Won Moon D.D.S. Inc.

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

45925 Issued in CA

Legal business name

HYE WON MOON D.D.S. INC.

Practice address

4026 W Olympic Blvd
Los Angeles, CA 90019-3257

Phone

(323) 732-2828

Fax

(323) 732-9737

NPI assigned

Feb 2, 2010

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hye Won Moon, DDSNPI 1902977069

Title

Doctor

Phone

(323) 732-2828

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, and the practitioner matching its NPPES authorized official.

• Hye Won Moon, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1902977069
  NPD (past) Authorized official
• Susan Moon Lee, DDS

  • Dentist
  • Buena Park, CA
  • NPI 1477074813
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1730411703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192351",
            "telephone_number": "323-732-2828",
            "fax_number": "323-732-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193257",
            "telephone_number": "323-732-2828",
            "fax_number": "323-732-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYE WON MOON D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "HYE",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "323-732-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "45925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.