IRIS HYUNJOO NAM DDS NPI 1073820932

NPI Information

  • NPI: 1073820932
  • Provider Name: IRIS HYUNJOO NAM, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 11092 ANDERSON STREET
    LLU SCHOOL OF DENTISTRY
    LOMA LINDA, CA
    ZIP 92350
  • Phone: (909) 558-4613

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NPI Details

Iris Hyunjoo Nam, DDS is a general practice dentist in Loma Linda, CA. The provider is 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. Iris Hyunjoo Nam, DDS NPI is 1073820932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11092 ANDERSON STREET
LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA
ZIP 92350-001
Phone: (909) 558-4613
Fax: (909) 558-4192

The enumeration date for this NPI number is 9/13/2010 and was last updated on 2/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice59370CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
159370OTHERCALIFORNIASTATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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