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8754 Garden Grove Blvd Garden Grove CA 92844-1251 | |
| (714) 539-1200 | |
| (714) 741-8296 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 8754 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Boung Yeop Kim (DENTIST) |
| Authorized Official Contact | 7145391200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8754 Garden Grove Blvd Garden Grove CA 92844-1251 Ph: (714) 539-1200 | 8754 Garden Grove Blvd Garden Grove CA 92844-1251 Ph: (714) 539-1200 |
| NPI Number | 1912421942 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 5193070605 |
|---|---|
| Medicare Enrollment ID | O20180622002630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912421942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 101060 (California) | Primary |
| Provider Name | Boung Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528502648 PECOS PAC ID: 6002161510 Enrollment ID: I20180622002685 |
Thi Minh Nguyen Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8585 Westminster Ave, Garden Grove, CA 92844 Phone: 714-799-1599 Fax: 714-799-1720 | |
Le, Bich Ngoc, Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14364 Brookhurst St, Garden Grove, CA 92843 Phone: 714-531-2577 Fax: 714-531-2279 | |
Tiep M. Tran Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12732 Brookhurst St, Garden Grove, CA 92840 Phone: 714-539-8899 Fax: 714-539-8999 | |
Jin Y. Kim Dds, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 9681 Garden Grove Blvd Ste 104, Garden Grove, CA 92844 Phone: 713-539-8275 Fax: 714-539-8284 | |
Phil Trinh, Dds.,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12302 Garden Grove Blvd Ste 1, Garden Grove, CA 92843 Phone: 714-534-9292 |