Youngseong Koh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100110 Issued in CA

Practice address

26354 Long St
Loma Linda, CA 92354-6566

Phone

(909) 499-4126

NPI assigned

Jun 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1982053161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 N LEMON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26354 LONG ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546566",
            "telephone_number": "909-499-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "YOUNGSEONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Ko, DDS
• Brian Matthew Koch, MD
• Kellilynn Lee Kochever, DNP
• Youssef Kodsy, MD
• Christine Wei-Ping Koh-Pham, DO
• Gurmander S Kohli, M.D.
• Nelly Kokikian
• Saahithi Priya Kolli
• Samyuta Komaravolu, MD
• Soujanya Kondameedi

• General Practice Dentistry in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.