| Dong Myung Kim Dds Inc | |
|
1055 S. Alvarado St Los Angeles CA 90004 | |
| (213) 382-8980 | |
| (213) 382-5159 |
| Full Name | Dong Myung Kim Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1055 S. Alvarado St, Los Angeles, California |
| Authorized Official Name and Position | Dong M Kim (C.E.O) |
| Authorized Official Contact | 2133828980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dong Myung Kim Dds Inc 1055 S. Alvarado St Los Angeles CA 90004 Ph: (213) 382-8980 | Dong Myung Kim Dds Inc 1055 S. Alvarado St Los Angeles CA 90004 Ph: (213) 382-8980 |
| NPI Number | 1487926911 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Medicare PECOS PAC ID | 9537445523 |
|---|---|
| Medicare Enrollment ID | O20170405000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487926911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 55265 (California) | Primary |
| Provider Name | Dong Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821203282 PECOS PAC ID: 6204148802 Enrollment ID: I20170405001069 |
Consuelo M Nogoy Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
William Lewczuk D.d.s. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 | |
Adriana R. Masi, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 S Robertson Blvd, Suite 2, Los Angeles, CA 90035 Phone: 310-550-5888 Fax: 310-550-5883 |