NPIMap

Organization Active NPI

Audrey Jung-Sun Yoon Ddsms Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellflower, CA
National Provider Identifier
1780012740
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
53114 Issued in CA
Legal business name
AUDREY JUNG-SUN YOON DDSMS DENTAL CORP
Practice address
16424 Bellflower Blvd
Bellflower, CA 90706-5415
Phone
(562) 804-1468
Fax
(562) 866-1177
NPI assigned
Oct 29, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Dr. Audrey YoonNPI 1083865646
Title
President
Phone
(310) 709-1644

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 53114 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 53114 CA Primary

Addresses

Primary practice location

16424 Bellflower Blvd
Bellflower, CA 90706-5415

Mailing address

16424 Bellflower Blvd
Bellflower, CA 90706-5415
Phone (562) 804-1468

National Provider Directory

National Provider Directory

Locations

16424 Bellflower Blvd
Bellflower, CA 90706
Phone (562) 804-1468

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1780012740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16424 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065415",
            "telephone_number": "562-804-1468",
            "fax_number": "562-866-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16424 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065415",
            "telephone_number": "562-804-1468",
            "fax_number": "562-866-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY JUNG-SUN YOON DDSMS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-709-1644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53114",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.