Organization Active NPI

Dr. Young Ho Cha, D.D.S. Corp

  • Prosthodontics
  • West Covina, CA
National Provider Identifier
1962640599
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
DR. YOUNG HO CHA, D.D.S. CORP
Practice address
151 N Azusa Ave
West Covina, CA 91791-1342
Phone
(626) 915-8880
Fax
(626) 915-8881
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Dr. Young Ho Cha, D.D.S.
Title
President/C.E.O.
Phone
(626) 915-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

151 N Azusa Ave
West Covina, CA 91791-1342

Mailing address

151 N Azusa Ave
West Covina, CA 91791-1342
Phone (626) 915-8880

National Provider Directory

National Provider Directory

Locations

246 W College St
Ste 207
Covina, CA 91723
Phone (626) 332-0013

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1962640599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911342",
            "telephone_number": "626-915-8880",
            "fax_number": "626-915-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911342",
            "telephone_number": "626-915-8880",
            "fax_number": "626-915-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. YOUNG HO CHA, D.D.S. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O.",
        "authorized_official_telephone_number": "626-915-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.