1. Home
  2. Directory
  3. California
  4. Port Hueneme
  5. Dentist
  6. NPI Profile

DR. GYUTAE JIN DMD
NPI 1134859820
Dentist - General Practice in Port Hueneme, CA

Active since June 15, 2022
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043(805) 982-6342 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gyutae Jin Dmd NPPES

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

DR. GYUTAE JIN DMD (NPI 1134859820) is an individual general practice provider in Port Hueneme, California, licensed in California (107500) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1134859820
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GYUTAE JINCredential: DMD
Location Address162 1ST ST BLDG 1402Port Hueneme, CA 93043-4316
Mailing Address162 1st StPort Hueneme, CA 93043-4316 · (805) 982-6342
Phone(805) 982-6342
Sole ProprietorYes
Enumeration DateJune 15, 2022
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1134859820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 107500
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
162 1ST ST BLDG 1402, Port Hueneme, CA 93043
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

ERIN MICHELLE ANDERSON
Physical Therapy Assistant
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6335
NAVAL HOSPITAL CAMP PENDLETON
Military/U.S. Coast Guard Pharmacy
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6411
MR. JAMES A KIRK MPT
Physical Therapist
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6335
NICKOLAS VINCENT PONCE IDC
Military Health Care Provider (Independent Duty Corpsman)
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6320
DR. GEOFFREY SAMUEL JACOBY MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6356
JASON JUNG DO
General Practice
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6323
PATRICIA ROBERTS AU.D.
Audiologist
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-3779
DR. ANDREW SULLIVAN D.O.
General Practice
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (936) 523-0454

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 Gyutae Jin's NPI number?

The NPI number for Gyutae Jin is 1134859820. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Gyutae Jin located?

Gyutae Jin practices at 162 1st St Bldg 1402, Port Hueneme, CA 93043. The listed phone number is (805) 982-6342.

What is Gyutae Jin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gyutae Jin was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.