Organization Active NPI

Jung Jin Leeyoon Inc

  • General Practice Dentistry
  • Downey, CA
National Provider Identifier
1942642855
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50777 Issued in CA
Legal business name
JUNG JIN LEEYOON INC
Practice address
10800 Paramount Blvd #207
Downey, CA 90241-3331
Phone
(562) 862-6525
Fax
(562) 862-6526
NPI assigned
Jul 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Jung Jin LeeyoonNPI 1740490226
Title
Owner/Dentist
Phone
(562) 862-6525

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 50777 CA Primary

Addresses

Primary practice location

10800 Paramount Blvd #207
Downey, CA 90241-3331

Mailing address

10800 Paramount Blvd #207
Downey, CA 90241-3331
Phone (562) 862-6525

National Provider Directory

National Provider Directory

Locations

10800 Paramount Blvd
Ste 207
Downey, CA 90241
Phone (562) 862-6525

Practitioners & affiliated clinicians

Practitioners 1

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": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1942642855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD #207",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413331",
            "telephone_number": "562-862-6525",
            "fax_number": "562-862-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD #207",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413331",
            "telephone_number": "562-862-6525",
            "fax_number": "562-862-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG JIN LEEYOON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "LEEYOON",
        "authorized_official_first_name": "JUNG JIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "562-862-6525"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.