Provider Demographics
NPI:1548436108
Name:HONG, JOOYOUNG (D D S)
Entity type:Individual
Prefix:DR
First Name:JOOYOUNG
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4332 CERRITOS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2557
Mailing Address - Country:US
Mailing Address - Phone:714-827-0206
Mailing Address - Fax:
Practice Address - Street 1:4332 CERRITOS AVE STE 103
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2557
Practice Address - Country:US
Practice Address - Phone:714-827-0206
Practice Address - Fax:714-827-0283
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist