MICHAEL JONG-GYU KIM D.D.S NPI 1174945273

NPI Information

  • NPI: 1174945273
  • Provider Name: MICHAEL JONG-GYU KIM, D.D.S
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27382 CALLE ARROYO
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Phone: (949) 218-6888

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NPI Details

Michael Jong-gyu Kim, D.D.S is a general practice dentist in San Juan Capistrano, 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. Michael Jong-gyu Kim, D.D.S NPI is 1174945273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27382 CALLE ARROYO
SAN JUAN CAPISTRANO, CA
ZIP 92675-746
Phone: (949) 218-6888

The NPI 1174945273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/9/2014 and was last updated on 11/19/2018.

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
11223G0001XDentistGeneral Practice101618CALIFORNIAYes

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: 3/30/2025

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