J Kim Dds Inc | |
20657 Golden Springs Dr Ste 205b Diamond Bar CA 91789-3837 | |
(909) 859-8800 | |
Not Available |
Full Name | J Kim Dds Inc |
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Speciality | Clinic/Center |
Location | 20657 Golden Springs Dr Ste 205b, Diamond Bar, California |
Authorized Official Name and Position | Jin Kim (PRESIDENT) |
Authorized Official Contact | 7144859999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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J Kim Dds Inc 20657 Golden Springs Dr Ste 205b Diamond Bar CA 91789-3837 Ph: () - | J Kim Dds Inc 20657 Golden Springs Dr Ste 205b Diamond Bar CA 91789-3837 Ph: (909) 859-8800 |
NPI Number | 1487237491 |
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Provider Enumeration Date | 04/29/2021 |
Last Update Date | 04/29/2021 |
Medicare PECOS PAC ID | 2860893823 |
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Medicare Enrollment ID | O20210628002724 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487237491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Jin Young Kim |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1922296623 PECOS PAC ID: 6002132479 Enrollment ID: I20150302001262 |
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