Kyung Sook Yu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50698 Issued in CA

Practice address

1370 S Beach Blvd
#E
La Habra, CA 90631-1178

Phone

(562) 694-5850

Fax

(562) 694-5838

NPI assigned

Apr 9, 2007

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kyung Sook Yu, DDS. Inc

  • General Practice Dentistry
  • La Habra, CA
  • NPI 1457717423
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1992828446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S BEACH BLVD",
            "address_2": "#E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906311178",
            "telephone_number": "562-694-5850",
            "fax_number": "562-694-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S BEACH BLVD",
            "address_2": "#E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906311178",
            "telephone_number": "562-694-5850",
            "fax_number": "562-694-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "KYUNG",
        "middle_name": "SOOK",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yew Dream Golf Inc
• Manuela Yim
• Eun Hye Yoon, L.AC.
• Eugene Y Young, D.O.
• Michelle Young
• Lucy Yu
• Patrick Yun, D.D.S
• Sepideh Zahedy-Kapusta, M.D
• Jenny Zamora, PHARMD
• Amber Zavala

• General Practice Dentistry in La Habra, CA
• Providers in La Habra, 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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.