Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. SO YOUN MIN
Active
Individual
DR. SO YOUN MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38356
TSDBE
TX
01
—
65275
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
05/18/2020
Last updated
06/21/2022
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