JOHN BORAM WON


Address: 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001
Phone: 9095584613

JOHN BORAM WON (NPI# 1700036266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700036266
Entity Type Individual
Full Name JOHN BORAM WON
Credential DDS
Practice Address 11092 Anderson Street
Llu School of Dentistry
Loma Linda
CA 92350-0001
Practice Telephone 9095584613
Practice Fax Number 9095584192
Mailing Telephone 9095584613
Mailing Fax Number 9095584192
Enumeration Date 2008-09-22
Last Update Date 2008-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
55828 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE LICENSE 55828 01

Other Providers JOHN WON

NPI Name Taxonomy Address Enumeration
1477630440 John H Won Urology 4161 Kissena Blvd Ste 1b, Flushing, NY 11355-3105 2006-11-01
1003836321 John Sunghoon Won Dentist 8851 Ellstree Ln Ste 116, Raleigh, NC 27617-2046 2006-07-20

Office Location

Street Address 11092 ANDERSON STREET
LLU SCHOOL OF DENTISTRY
City LOMA LINDA
State CA
Zip Code 92350-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134253339 Loma Linda University Dentist 11092 Anderson Street, Loma Linda, CA 92354 2007-03-16
1093130965 Tory Silvestrin Dentist 11092 Anderson Street, Loma Linda University School of Dentistry, Loma Linda, CA 92354 2014-02-28
1336459155 Marilynn Jean Heyde Dental Hygienist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2010-10-14
1437469251 Shelley L. Hayton Dental Hygienist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2010-10-14
1528378346 Michelle Erin Einig Dental Hygienist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2010-10-14
1073820932 Iris Hyunjoo Choi Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2010-09-13
1376878918 Robert Douglas Walter Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2009-10-15
1497996078 Bonnie J. Retamozo Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2009-03-12
1689814535 Jeffrey Marc Hwang Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2009-03-04
1144466442 Carrie Davies Dental Hygienist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350 2008-12-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164059010 Stephanie Abandy Student in an Organized Health Care Education/Training Program 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 2020-03-23
1275911844 Rosemarie Florian Internal Medicine 11234 Anderson St Rm 1503, Loma Linda, CA 92350 2015-05-14
1235525403 Diana Derosa Villarreal Pediatrics 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 2015-04-14
1609212919 Daniel Eldridge Smith Surgery 11175 Campus St # 21111, Loma Linda, CA 92350 2013-05-14
1992057269 Hildemar Feliciano Dos Santos Nutritionist 25040 Stewart Street, Loma Linda, CA 92350 2012-10-10
1184910762 Kristyn Anne Mannoia Surgery 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 2011-06-22
1760774947 Loma Linda University Special Hospital 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 2011-05-06
1144547977 Andrei Radulescu Surgery 11175 Campus St Ste 21111, Loma Linda, CA 92350 2010-05-04
1619102845 Wing Sze Esther Yung Surgery 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 2009-05-18
1679720734 Ronald Lee Young Dentist 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 2008-08-20
Find all providers in zip 92350

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821519000 Brian Joseph Goodacre Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2017-06-28
1376878918 Robert Douglas Walter Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2009-10-15
1063664621 Wendy Christina Gregorius Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-10-15
1821249913 Montry S. Suprono Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-10-07
1326296427 Vu Quoc Huynh Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-09-03
1821246166 Nadim Z. Baba Dentist 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 2008-08-28
1518157759 Joseph Yun Kwang Kan Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2007-07-25
1750581260 Jaime Lorencez Lozada Dentist 11092 Anderson St, Loma Linda, CA 92350-1706 2007-07-23
1174739346 William Patrick Naylor Dentist 11092 Anderson Street, Loma Linda, CA 92354 2007-05-15
1497960348 Myron Sheldon Winer Dentist 11092 Anderson Street, Loma Linda, CA 92354 2007-05-14
Find all providers in LOMA LINDA

Competitor

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City LOMA LINDA
Zip Code 92350

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Dataset Information

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.

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