| Dr Emma Y Kim, DMD | |
|
984 Monument St Ste 202, Pacific Palisades, CA 90272-3859 | |
| (310) 454-4316 | |
| (310) 454-3168 |
| Full Name | Dr Emma Y Kim |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 984 Monument St Ste 202, Pacific Palisades, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578631503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43994 (California) | Primary |
| Entity Name | Gaminchi And Kim Dental Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962549519 PECOS PAC ID: 6507173911 Enrollment ID: O20150917001378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emma Y Kim, DMD 984 Monument St Ste 202, Pacific Palisades, CA 90272-3859 Ph: (310) 454-4316 | Dr Emma Y Kim, DMD 984 Monument St Ste 202, Pacific Palisades, CA 90272-3859 Ph: (310) 454-4316 |
Lynn Watanabe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 Phone: 310-454-3111 Fax: 310-459-5410 | |
Maria E Tapia, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 881 Alma Real Dr, Suite 205a, Pacific Palisades, CA 90272 Phone: 310-454-0912 | |
Sergey Sirenko, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15515 W Sunset Blvd, 503, Pacific Palisades, CA 90272 Phone: 310-454-0388 Fax: 310-230-0239 | |
Dr. Richard Leslie Jacobson, D.M.D, M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 881 Alma Real Dr, Suite 200, Pacific Palisades, CA 90272 Phone: 310-454-0317 Fax: 310-459-3826 | |
Carrie Loewen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 881 Alma Real Dr Ste 315, Pacific Palisades, CA 90272 Phone: 310-459-3088 | |
Dr. William L Francis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 881 Alma Real Dr, Suite T2, Pacific Palisades, CA 90272 Phone: 310-459-2303 Fax: 310-459-0015 | |
Dr. Dylan James Warner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 984 Monument St Ste 207, Pacific Palisades, CA 90272 Phone: 310-459-7861 Fax: 310-459-7861 |