Young Seong Koh D.D.S. Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YOUNG SEONG KOH D.D.S. PROFESSIONAL CORPORATION

Practice address

15890 Gale Ave
Hacienda Heights, CA 91745-1601

Phone

(626) 333-0111

Fax

(626) 333-2400

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Young Seong Koh, D.D.S

Title

Dentist

Phone

(909) 499-4126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1912460619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15890 GALE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451601",
            "telephone_number": "626-333-0111",
            "fax_number": "626-333-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15890 GALE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451601",
            "telephone_number": "626-333-0111",
            "fax_number": "626-333-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG SEONG KOH D.D.S. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "KOH",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SEONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-499-4126",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.