Dr Youngsam Kim I, | |
4330 Barranca Pkwy Ste 140, Irvine, CA 92604-1703 | |
(949) 523-2875 | |
(949) 523-2876 |
Full Name | Dr Youngsam Kim I |
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Gender | Male |
Speciality | Dentist |
Location | 4330 Barranca Pkwy Ste 140, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942699160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 64186 (California) | Primary |
Entity Name | Ysplant, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023525201 PECOS PAC ID: 0840550430 Enrollment ID: O20180130000860 |
Mailing Address | Practice Location Address |
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Dr Youngsam Kim I, 4330 Barranca Pkwy Ste 140, Irvine, CA 92604-1703 Ph: (949) 523-2875 | Dr Youngsam Kim I, 4330 Barranca Pkwy Ste 140, Irvine, CA 92604-1703 Ph: (949) 523-2875 |
Dr. Dorothy Lin Yokoyama, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14976 Sand Canyon Ave, Irvine, CA 92618 Phone: 949-788-0088 | |
Antonio Luna-salguero, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 Gateway Unit 1408, Irvine, CA 92618 Phone: 949-307-6589 | |
Dr. Dean Lambridis, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2860 Michelle, 2nd Floor, Irvine, CA 92606 Phone: 714-508-3600 Fax: 714-368-2092 | |
Dr. Sohrab Rahbar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 33 Creek Rd, Suite 170, Irvine, CA 92604 Phone: 949-551-9999 Fax: 949-551-9009 | |
Padideh Shafiei, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6865 Alton Pkwy, Suite 200, Irvine, CA 92618 Phone: 949-246-0944 | |
Dr. Anton J Degeus, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4330 Barranca Pkwy, Suite 220, Irvine, CA 92604 Phone: 949-857-9220 Fax: 949-857-4327 | |
Dr. Neda Courtney Khodai, DDS Dentist Medicare: Medicare Enrolled Practice Location: 62 Corporate Park Ste 220, Irvine, CA 92606 Phone: 949-553-1111 |