Provider Demographics
NPI:1609520014
Name:HEE JEE YOON DDS, INC.
Entity Type:Organization
Organization Name:HEE JEE YOON DDS, INC.
Other - Org Name:HOOVER DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEE JEE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-658-7711
Mailing Address - Street 1:1717 S HOOVER ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-4958
Mailing Address - Country:US
Mailing Address - Phone:213-725-2898
Mailing Address - Fax:
Practice Address - Street 1:1717 S HOOVER ST STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-4958
Practice Address - Country:US
Practice Address - Phone:213-747-6891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-05
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental