| Sean Kim, Dds, Inc. | |
|
1213 N Lake Ave Pasadena CA 91104-3768 | |
| (626) 584-1800 | |
| Not Available |
| Full Name | Sean Kim, Dds, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1213 N Lake Ave, Pasadena, California |
| Authorized Official Name and Position | Sean Sunyoto (DENTIST) |
| Authorized Official Contact | 6265102606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Kim, Dds, Inc. 936 Crenshaw Blvd Ste 101 Los Angeles CA 90019-1948 Ph: () - | Sean Kim, Dds, Inc. 1213 N Lake Ave Pasadena CA 91104-3768 Ph: (626) 584-1800 |
| NPI Number | 1306323035 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Medicare PECOS PAC ID | 9830424761 |
|---|---|
| Medicare Enrollment ID | O20190715000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306323035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 102689 (California) | Primary |
| Provider Name | Johnny K Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528155819 PECOS PAC ID: 5597026443 Enrollment ID: I20180313001931 |
| Provider Name | Sean Sunyoto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124514112 PECOS PAC ID: 0749515674 Enrollment ID: I20190715000865 |
Walnut Hill Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 N Hill Ave, Pasadena, CA 91106 Phone: 626-796-0313 Fax: 626-239-3361 | |
Gregory Ohanian Dds Ms Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 North Allen Avenue, Pasadena, CA 91106 Phone: 626-500-0626 | |
Dien Sun, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Alessandro Pl Ste 200, Pasadena, CA 91105 Phone: 858-610-0893 | |
Ninette Hacopian Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 N Fair Oaks Ave Ste 120, Pasadena, CA 91103 Phone: 818-873-1400 | |
Dat-minh Do Dds Professional Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S Rosemead Blvd, Pasadena, CA 91107 Phone: 626-639-3309 | |
Vincent W H Wang Dds Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 572 E Green St Ste 205, Pasadena, CA 91101 Phone: 626-796-2800 | |
Scott R. Adishian, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Oak Knoll Ave, Suite 101, Pasadena, CA 91101 Phone: 626-796-3700 |