MEDICARE: FUN DENTAL 4 KIDS 6

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1669322244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUN DENTAL 4 KIDS 6

Provider Business Mailing Address
First Line	:	2409 E 1ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-3549
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2409 E 1ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-3549
Country	:	US
Telephone Number	:	310-363-5107
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	JOHN YOO
Credential	:	DDS
Telephone Number	:	310-619-5880

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

Similar Medicare Providers

1962504654 — ALL-CARE MEDICAL SUPPLY CORPORATION
Practice Location Address:

8937 S WESTERN AVE
LOS ANGELES, CA
90047-3549

Practice Phone: 323-750-7800
Practice Fax:

1992871180 — SPEEDYCARE MEDICAL DISTRIBUTORS , INC.
Practice Location Address:

8955 S WESTERN AVE
LOS ANGELES, CA
90047-3549

Practice Phone: 323-242-2018
Practice Fax: 323-834-0476

1457401804 — GUTSON MEDICAL CORPORATION
Practice Location Address:

3549 VETERAN AVE
LOS ANGELES, CA
90034-6111

Practice Phone: 310-792-3914
Practice Fax:

1962782771 — HASSIM MEDICAL EQUIPMENT & SUPPLIES, INC.
Practice Location Address:

8945 S WESTERN AVE
LOS ANGELES, CA
90047-3549

Practice Phone: 323-750-1121
Practice Fax: 323-750-1122

1952705337 — SIMBAR MEDICAL SUPPLY
Practice Location Address:

8945 S WESTERN AVE , SUITE A
LOS ANGELES, CA
90047-3549

Practice Phone: 323-750-1121
Practice Fax: 323-750-1122

1700338951 — HOVANES GEZALIAN DC
Practice Location Address:

4221 WILSHIRE BLVD STE 420
LOS ANGELES, CA
90010-3549

Practice Phone: 323-424-4875
Practice Fax:

Directions to “FUN DENTAL 4 KIDS 6 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.