| Andrew Kim Dds Inc | |
|
2311 Seal Beach Blvd Ste 102 Seal Beach CA 90740-5623 | |
| (562) 799-8300 | |
| Not Available |
| Full Name | Andrew Kim Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2311 Seal Beach Blvd Ste 102, Seal Beach, California |
| Authorized Official Name and Position | Andrew Kim (DOCTOR, OWNER) |
| Authorized Official Contact | 5627998300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Kim Dds Inc 2311 Seal Beach Blvd Ste 102 Seal Beach CA 90740-5623 Ph: (562) 799-8300 | Andrew Kim Dds Inc 2311 Seal Beach Blvd Ste 102 Seal Beach CA 90740-5623 Ph: (562) 799-8300 |
| NPI Number | 1841913696 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Medicare PECOS PAC ID | 3971989831 |
|---|---|
| Medicare Enrollment ID | O20220929001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841913696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Andrew Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194847939 PECOS PAC ID: 0345626214 Enrollment ID: I20220929001514 |
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