DEUKWON JO
NPI 1730999442
Dentist - General Practice in Los Angeles, CA

Active since January 14, 2025
714 TIVERTON AVENUE, CHS 30-129, LOS ANGELES, CA 90095(310) 825-9295 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deukwon Jo NPPES

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

DEUKWON JO (NPI 1730999442) is an individual general practice provider in Los Angeles, California, licensed in California (110978) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1730999442
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDEUKWON JO
Location Address714 TIVERTON AVENUE, CHS 30-129Los Angeles, CA 90095
Mailing Address714 Tiverton Avenue, Chs 30-129Los Angeles, CA 90095
Sole ProprietorNo
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1730999442 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 · 110978
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.
714 TIVERTON AVENUE, Los Angeles, CA 90095

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 Deukwon Jo's NPI number?

The NPI number for Deukwon Jo is 1730999442. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Deukwon Jo located?

Deukwon Jo practices at 714 Tiverton Avenue Chs 30-129, Los Angeles, CA 90095. The listed phone number is (310) 825-9295.

What is Deukwon Jo'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 Deukwon Jo was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.