John Hyunyoung Kim, Dds, Inc. | |
19742 Macarthur Blvd Suite 224 Irvine CA 92612-2432 | |
(949) 748-3722 | |
(949) 502-8855 |
Full Name | John Hyunyoung Kim, Dds, Inc. |
---|---|
Speciality | Dentist |
Location | 19742 Macarthur Blvd, Irvine, California |
Authorized Official Name and Position | John Hyunyoung Kim (PRESIDENT) |
Authorized Official Contact | 9497483722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John Hyunyoung Kim, Dds, Inc. 19742 Macarthur Blvd Suite 224 Irvine CA 92612-2432 Ph: (949) 748-3722 | John Hyunyoung Kim, Dds, Inc. 19742 Macarthur Blvd Suite 224 Irvine CA 92612-2432 Ph: (949) 748-3722 |
NPI Number | 1609219294 |
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Provider Enumeration Date | 04/12/2013 |
Last Update Date | 02/11/2016 |
Medicare PECOS PAC ID | 6800033820 |
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Medicare Enrollment ID | O20130513000088 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609219294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 53915 (California) | Primary |
Provider Name | John H Kim |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1427367226 PECOS PAC ID: 4385817758 Enrollment ID: I20130528000737 |
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