Provider Demographics
NPI:1457730889
Name:CHRIS MYUNG, D.M.D., INC
Entity Type:Organization
Organization Name:CHRIS MYUNG, D.M.D., INC
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JINYOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:626-354-2230
Mailing Address - Street 1:3480 TORRANCE BLVD
Mailing Address - Street 2:#221
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5808
Mailing Address - Country:US
Mailing Address - Phone:626-354-2230
Mailing Address - Fax:
Practice Address - Street 1:3480 TORRANCE BLVD
Practice Address - Street 2:#221
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5808
Practice Address - Country:US
Practice Address - Phone:626-354-2230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA451911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty