| Johnny Kim Dds, Inc | |
|
906 N Vermont Ave Los Angeles CA 90029-3519 | |
| (323) 522-3382 | |
| Not Available |
| Full Name | Johnny Kim Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 906 N Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Johnny K Kim (PRESIDENT) |
| Authorized Official Contact | 3235223382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Kim Dds, Inc 936 Crenshaw Blvd # 100 Los Angeles CA 90019-1957 Ph: (323) 617-4180 | Johnny Kim Dds, Inc 906 N Vermont Ave Los Angeles CA 90029-3519 Ph: (323) 522-3382 |
| NPI Number | 1578161931 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578161931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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