| Gaminchi And Kim Dental Corporation | |
|
15651 Imperial Hwy Ste 105 La Mirada CA 90638-1600 | |
| (562) 944-4745 | |
| (562) 944-4745 |
| Full Name | Gaminchi And Kim Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 15651 Imperial Hwy Ste 105, La Mirada, California |
| Authorized Official Name and Position | Emma Kim (CO-OWNER) |
| Authorized Official Contact | 5629444745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaminchi And Kim Dental Corporation 15651 Imperial Hwy Ste 105 La Mirada CA 90638-1600 Ph: (562) 944-4745 | Gaminchi And Kim Dental Corporation 15651 Imperial Hwy Ste 105 La Mirada CA 90638-1600 Ph: (562) 944-4745 |
| NPI Number | 1962549519 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 6507173911 |
|---|---|
| Medicare Enrollment ID | O20150917001378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962549519 | NPI | - | NPPES |
| Provider Name | Farinoush Gaminchi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811027006 PECOS PAC ID: 9931416344 Enrollment ID: I20151013000657 |
| Provider Name | Emma Y Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578631503 PECOS PAC ID: 0345580130 Enrollment ID: I20190313002326 |
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