Dr. Jelson Jonathan Yalung
Orthodontists
912 17th St
Santa Monica
, California 90403-3225
Dr. Jelson Jonathan Yalung
Orthodontists
912 17th St
Santa Monica
, California 90403-3225
(310) 439-8321
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Jelson Jonathan Yalung
- Po Box 491022
- Los Angeles, CA
- Zip : 90049-9022
- Phone : (310) 439-8321
Second Address
- Dr. Jelson Jonathan Yalung
- 912 17th St
- Santa Monica, CA
- Zip : 90403-3225
- Phone : (310) 439-8321
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 60979 | CA |
National Provider Identifier
| NPI | 1003164799 |
|---|---|
| Provider Name | Dr. Jelson Jonathan Yalung |
| First Address | Los Angeles, CA 90049-9022 |
| Second Address | Santa Monica, CA 90403-3225 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2012 |
| Last Update Date | 12/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.