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DR. ELLEN WONSUN IM DDS
NPI 1023029220
Dentist - Pediatric Dentistry in Poway, CA

Active since August 11, 2006
13422 POMERADO RD STE 201, POWAY, CA 92064(410) 644-4100 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2021, May 6, 2021 (2 updates tracked since 2021).

About Dr. Ellen Wonsun Im Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLEN WONSUN IM DDS (NPI 1023029220) is an individual pediatric dentistry provider in Poway, California, licensed in California (63073) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023029220
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ELLEN WONSUN IMCredential: DDS
Location Address13422 POMERADO RD STE 201Poway, CA 92064-3548
Mailing Address13422 Pomerado Rd, Suite 201Poway, CA 92064 · (858) 679-6660 · Fax (858) 679-0850
Phone(410) 644-4100
Sole ProprietorYes
Enumeration DateAugust 11, 2006
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1023029220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 63073
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
13422 POMERADO RD STE 201, Poway, CA 92064
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Other Names 1

Former Name (1)Ellen Wonsun Lee

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONIQUE NGUYEN
Dentist (Orthodontics and Dentofacial Orthopedics)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (858) 679-6660
MR. CLARENCE SPENCER TANG DDS, MD
Dentist (Oral and Maxillofacial Surgery)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (847) 769-5381
ELLEN IM DDS INC
Dentist (Pediatric Dentistry)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (858) 679-6660
DR. JOEL WAN TOON WONG DMD
Dentist (Pediatric Dentistry)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (858) 679-6660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Im's NPI number?

The NPI number for Ellen Im is 1023029220. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Ellen Wonsun Lee.

Where is Ellen Im located?

Ellen Im practices at 13422 Pomerado Rd Ste 201, Poway, CA 92064. The listed phone number is (410) 644-4100.

What is Ellen Im's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Ellen Im accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Ellen Im as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Im was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.