| |
12000 Long Beach Blvd Lynwood CA 90262 | |
(310) 570-9731 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 12000 Long Beach Blvd, Lynwood, California |
Authorized Official Name and Position | Joo Hyeong Yoo (C.E.O.) |
Authorized Official Contact | 3105709731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1820 Palisades Dr. Pacific Palisades CA 90272 Ph: (310) 570-9731 | 12000 Long Beach Blvd Lynwood CA 90262 Ph: (310) 570-9731 |
NPI Number | 1174187298 |
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Provider Enumeration Date | 04/24/2019 |
Last Update Date | 05/23/2020 |
Identifier | Type | State | Issuer |
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1174187298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
H.r.imankhan,dds,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11395 Atlantic Ave, Lynwood, CA 90262 Phone: 310-639-0884 Fax: 310-639-0013 | |
Steve Kim D.d.s. Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11395 Atlantic Ave, Lynwood, CA 90262 Phone: 909-282-7776 |