Young Rae Kim, DDS | |
12144 Carson St, Ste E, Hawaiian Gardens, CA 90716-1171 | |
(562) 982-1380 | |
(562) 982-1383 |
Full Name | Young Rae Kim |
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Gender | Male |
Speciality | Dentist |
Location | 12144 Carson St, Hawaiian Gardens, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205137999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 59862 (California) | Primary |
Entity Name | Young Rae Kim Dental Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093123770 PECOS PAC ID: 9830469337 Enrollment ID: O20170717000876 |
Entity Name | Young Rae Kim Dds Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578808788 PECOS PAC ID: 0244500759 Enrollment ID: O20170717001146 |
Mailing Address | Practice Location Address |
---|---|
Young Rae Kim, DDS 12144 Carson St, Ste E, Hawaiian Gardens, CA 90716-1171 Ph: (562) 982-1380 | Young Rae Kim, DDS 12144 Carson St, Ste E, Hawaiian Gardens, CA 90716-1171 Ph: (562) 982-1380 |
Girish H Rami, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12144 E Carson St, # E, Hawaiian Gardens, CA 90716 Phone: 562-982-1380 Fax: 562-982-1383 | |
Mr. Jong Chul Han, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11846 E Carson St, Hawaiian Gardens, CA 90716 Phone: 562-860-8544 Fax: 562-860-8577 | |
Harjeet Ghotra, Dentist Medicare: Not Enrolled in Medicare Practice Location: 21714 Pioneer Blvd, Hawaiian Gardens, CA 90716 Phone: 562-421-3737 | |
Keun Chan Lee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12531 E Carson St, Hawaiian Gardens, CA 90716 Phone: 562-924-2448 Fax: 562-402-7587 | |
Dr. Hong-yuan Yen, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 21524 Norwalk Blvd, Hawaiian Gardens, CA 90716 Phone: 562-402-4202 Fax: 562-402-9612 |