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DJ DENTAL GROUP KIM & KIM PROFESSIONAL CORP NPI 1073854139


NPI Information

NPI: 1073854139
Provider Name: DJ DENTAL GROUP, KIM & KIM PROFESSIONAL CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4887 LA PALMA AVE
LA PALMA, CA
ZIP 90623
Phone: (714) 778-6614
Get Directions

DJ DENTAL GROUP, KIM & KIM PROFESSIONAL CORP is a general practice dentist in La Palma, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DJ DENTAL GROUP, KIM & KIM PROFESSIONAL CORP NPI is 1073854139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4887 LA PALMA AVE
LA PALMA, CA
ZIP 90623-019
Phone: (714) 778-6614
Fax: (562) 402-6377

The provider's authorized official is Joowon Kim .
The authorized official title is President and has the following contact phone number (714) 778-6614.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 3/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice54886CALIFORNIANo
21223G0001XDentistGeneral Practice54775CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.