THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY
NPI 1548778541
Oral & Maxillofacial Surgery in Pasadena, CA
- Organization
- Oral & Maxillofacial Surgery
About THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY
This page provides the complete NPI Profile along with additional information for The Pacific Coast Center For Oral & Facial Surgery, a provider established in Pasadena, California operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1548778541 assigned on January 2018. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The Pacific Coast Center For Oral & Facial Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as The Pacific Coast Center For Oral & Facial Surgery. The authorized official of this NPI record is Dr. Young Jun Dds, M.d. (Vice President)
- NPI
- 1548778541 Verify this NPI
- Provider Legal Name
- ELIAS & JUN DENTAL CORP
- Other Organization Name
- THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 301 S. FAIR OAKS AVE. STE 107 PASADENA, CA 91105
- Location Phone
- (626) 440-0099
- Location Fax
- (626) 440-1002
- Mailing Address
- 301 S. FAIR OAKS AVE. STE 107 PASADENA, CA 91105
- Mailing Phone
- (626) 440-0099
- Mailing Fax
- (626) 440-1002
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-12-2018
- Last Update Date
- 01-12-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist | |
| 2 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | |
| 3 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | |
| 4 | 2086S0122X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548778541, enumerated as an "organization" on January 12, 2018.
The provider is located at 301 S. FAIR OAKS AVE. STE 107 PASADENA, CA 91105 and the phone number is (626) 440-0099.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
