JAE EUN KIM DMD DENTISTRY INC NPI 1043927015

NPI Information

NPI: 1043927015
Provider Name: JAE EUN KIM, DMD DENTISTRY INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8819 WHITTIER BLVD STE 102-103
PICO RIVERA, CA
ZIP 90660
Phone: (562) 699-1000
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JAE EUN KIM, DMD DENTISTRY INC is a dental clinic center in Pico Rivera, CA. JAE EUN KIM, DMD DENTISTRY INC NPI is 1043927015. The provider is registered as an organization entity type.

The provider's business location address is:

8819 WHITTIER BLVD STE 102-103
PICO RIVERA, CA
ZIP 90660-672
Phone: (562) 699-1000
Fax: (562) 699-1099

The provider's authorized official is Jae Eun Kim .
The authorized official title is Owner Dentist and has the following contact phone number (562) 699-1000.

The enumeration date for this NPI number is 10/31/2022 and was last updated on 11/1/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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