Youngkwun Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58389 Issued in CA

Legal business name

YOUNGKWUN KIM DDS INC

Practice address

8110 Mango Ave Ste 101
Fontana, CA 92335-3603

Phone

(909) 829-9324

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Young Kwun Kim, DDS

Title

Ceo

Phone

(909) 829-9324

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra R Ayoub, DDS

  • Dentist
  • Fontana, CA
  • NPI 1467672279
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1982067229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MANGO AVE STE 101",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353603",
            "telephone_number": "909-829-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 MANGO AVE STE 101",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353603",
            "telephone_number": "909-829-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGKWUN KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "KWUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-829-9324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora S Young, PHARM D
• Kelly Young
• Lawrence Edwin Young, O. D.
• Robin Young
• Ting Z. Young, MD
• Jillan Youssef
• Janeen Yu-Tang, PHARM. D
• Diana Yu, D.O.
• Jack Yu, MD
• Jannie C. Yu, PHARM.D.

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, 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 Apr 5, 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.