DAVID JAEKWAN JO (NPI# 1689711822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689711822 |
| Entity Type | Individual |
| Full Name | DAVID JAEKWAN JO |
| Credential | D.D.S., M.S. |
| Practice Address |
3120 S Hacienda Blvd Suite 205 Hacienda Heights CA 91745-6305 |
| Mailing Address |
21655 Stonehaven Dr Yorba Linda CA 92887-2631 |
| Practice Telephone | 6263303116 |
| Practice Fax Number | 6263335607 |
| Mailing Telephone | 7147791650 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30682 | CA | Dental Providers |
| Street Address |
3120 S HACIENDA BLVD SUITE 205 |
| City | HACIENDA HEIGHTS |
| State | CA |
| Zip Code | 91745-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141918 | Kenny C Su | Internal Medicine | 3120 S Hacienda Blvd, Suite 103, Hacienda Heights, CA 91745-6305 | 2005-08-19 |
| 1447647490 | Laura Wang | Acupuncturist | 3120 S Hacienda Blvd, #201a, Hacienda Heights, CA 91745-6305 | 2015-04-16 |
| 1922263268 | Curtis W. Cross, D.d.s. | Dentist | 3120 S Hacienda Blvd, Suite 204, Hacienda Heights, CA 91745-6305 | 2008-07-25 |
| 1730344722 | Curtis W. Cross | Dentist | 3120 S Hacienda Blvd, Suite 204, Hacienda Heights, CA 91745-6305 | 2008-07-19 |
| 1033321427 | Hacienda Colima Investment Inc. | Durable Medical Equipment & Medical Supplies | 3120 S Hacienda Blvd, Suite 105, Hacienda Heights, CA 91745-6305 | 2007-05-05 |
| 1609919786 | David J. Jo Dds Ms Inc. | Dentist | 3120 S Hacienda Blvd, Suite 205, Hacienda Heights, CA 91745-6305 | 2007-02-15 |
| 1043375637 | Alfred Richard Salcido | Dentist | 3120 S Hacienda Blvd, Suite 202, Hacienda Heights, CA 91745-6305 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528534963 | Dr Huang's Dental Corp | Clinic/Center | 15724 E Gale Av, Hacienda Heights, CA 91745 | 2018-10-23 |
| 1427570175 | Christopher Aoyama Chiropractic Corporation | Chiropractor | 2131 S. Hacienda Blvd., Hacienda Heights, CA 91745 | 2017-07-14 |
| 1194175695 | Wu Ying | Acupuncturist | 14601 Wedgeworth Dr., Hacienda Heights, CA 91745 | 2016-06-15 |
| 1417317975 | Helen Xu | Pharmacist | 15578 E Gale Ave, Hacienda Heights, CA 91745 | 2016-02-26 |
| 1962869545 | Optometrx | Optometrist | 17134b Colima Road, Hacienda Heights, CA 91745 | 2016-01-27 |
| 1033526561 | Eric Han-peng Huang | Dentist | 15220 Los Robles Ave, Hacienda Heights, CA 91745 | 2014-07-16 |
| 1548686686 | Vicki Lufei | Acupuncturist | 15568 Cristalino St., Hacienda Heights, CA 91745 | 2014-03-13 |
| 1821433822 | Zhigang Liu | Acupuncturist | 15896 E Gale Ave., Hacienda Heights, CA 91745 | 2013-05-03 |
| 1043559230 | Viola S. Iskarous | Dentist | 2440 South Hacienda Blvd, Suite 233, Hacienda Heights, CA 91745 | 2013-02-07 |
| 1992059836 | Young Kim, Dds, Inc. | Dentist | 16388 Colima Road, Suite #201, Hacienda Heights, CA 91745 | 2012-10-30 |
| Find all providers in zip 91745 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639226004 | John King Wong | Dentist | 15534 Gale Avenue, Hacienda Heights, CA 91745-1513 | 2007-01-05 |
| 1609919786 | David J. Jo Dds Ms Inc. | Dentist | 3120 S Hacienda Blvd, Suite 205, Hacienda Heights, CA 91745-6305 | 2007-02-15 |
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| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | HACIENDA HEIGHTS |
| Zip Code | 91745 |
Please comment or provide details below to improve the information on DAVID JAEKWAN JO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.