| Dr Kim Dental Corporation | |
|
651 S Beach Blvd La Habra CA 90631-5854 | |
| (562) 691-3697 | |
| Not Available |
| Full Name | Dr Kim Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 651 S Beach Blvd, La Habra, California |
| Authorized Official Name and Position | Seung Hwan Kim (CEO/PRESIDENT) |
| Authorized Official Contact | 2135052088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kim Dental Corporation 651 S Beach Blvd La Habra CA 90631-5854 Ph: () - | Dr Kim Dental Corporation 651 S Beach Blvd La Habra CA 90631-5854 Ph: (562) 691-3697 |
| NPI Number | 1952874810 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 01/03/2019 |
| Medicare PECOS PAC ID | 5496088122 |
|---|---|
| Medicare Enrollment ID | O20190611002622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952874810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Seung Hwan Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972964260 PECOS PAC ID: 3476808320 Enrollment ID: I20180616000031 |
Phyllis K. Kawada, Dds, Ms, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 W Whittier Blvd, Suite 200, La Habra, CA 90631 Phone: 562-690-3750 Fax: 562-690-3439 | |
Chienho Chen, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2448 W Whittier Blvd, La Habra, CA 90631 Phone: 562-691-8822 | |
Douglas S. Daniels, D.m.d. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 E Whittier Blvd, La Habra, CA 90631 Phone: 562-694-3660 Fax: 562-690-6181 | |
Eliza Berris Dds Ii Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 S Euclid St, La Habra, CA 90631 Phone: 714-871-4962 | |
Juliet Tan Chua Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2241 W Whittier Blvd, La Habra, CA 90631 Phone: 562-691-7438 Fax: 562-697-9490 | |
Lea Bangsil Dmd Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 548 W La Habra Blvd, La Habra, CA 90631 Phone: 562-690-5261 | |
Valentina Redden Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Euclid St, La Habra, CA 90631 Phone: 562-697-1229 Fax: 562-697-5844 |