Dr Susan Ji Hyun Kim, DDS is a
Dentist based in Lake View Terrace, California. Dr Susan Ji Hyun Kim is licensed to practice in California (license number 48731) and her current practice location is
11998 Foothill Blvd., Lake View Terrace, California. She can be reached at her office (for appointments etc.) via phone at
(818) 897-5055.
NPI number for Dr Susan Ji Hyun Kim is 1184799702 and her current mailing address is 11998 Foothill Blvd., Lake View Terrace, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184799702.
Healthcare Provider's Profile
| Full Name | Dr Susan Ji Hyun Kim |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 11998 Foothill Blvd., Lake View Terrace, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184799702
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Susan Ji Hyun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184799702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 48731 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Ji Hyun Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Susan Ji Hyun Kim, DDS
11998 Foothill Blvd.,
Lake View Terrace, CA 91342-7101
Ph: (818) 897-5055 | Dr Susan Ji Hyun Kim, DDS
11998 Foothill Blvd.,
Lake View Terrace, CA 91342-7101
Ph: (818) 897-5055 |
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