Organization Active NPI

Jingyuan Li DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1730979592
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JINGYUAN LI DDS INC
Practice address
212 S Atlantic Blvd Ste 103
Los Angeles, CA 90022-1776
Phone
(323) 722-6600
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Jingyuan LiNPI 1366117293
Title
Owner
Phone
(323) 722-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

212 S Atlantic Blvd Ste 103
Los Angeles, CA 90022-1776

Mailing address

212 S Atlantic Blvd Ste 103
Los Angeles, CA 90022-1776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1730979592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S ATLANTIC BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S ATLANTIC BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221776",
            "telephone_number": "323-722-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINGYUAN LI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JINGYUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-722-6600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 May 7, 2025; 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.