Dr Jinnu Kim, DMD MS in Los Angeles, CA - Student in an Organized Health Care Education/Training Program

Dr Jinnu Kim, DMD MS is a Student In An Organized Health Care Education/training Program based in Los Angeles, California. Dr Jinnu Kim is licensed to practice in California (license number 109643) and his current practice location is 925 W 34th St Advanced Periodontology Resident Room 119, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (213) 740-2805.

NPI number for Dr Jinnu Kim is 1851185920 and his current mailing address is 925 W 34th St Advanced Periodontology Resident Room 119, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851185920.

Contact Information

	Dr Jinnu Kim, DMD MS
	925 W 34th St Advanced Periodontology Resident Room 119, Los Angeles, CA 90089-0001
	(213) 740-2805
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jinnu Kim
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	925 W 34th St Advanced Periodontology Resident Room 119, Los Angeles, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1851185920
Provider Enumeration Date: 04/05/2025
Last Update Date: 04/05/2025

Medical Identifiers

Medical identifiers for Dr Jinnu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851185920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	109643 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	109643 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jinnu Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jinnu Kim, DMD MS 925 W 34th St Advanced Periodontology Resident Room 119, Los Angeles, CA 90089-0641 Ph: (213) 740-2805	Dr Jinnu Kim, DMD MS 925 W 34th St Advanced Periodontology Resident Room 119, Los Angeles, CA 90089-0001 Ph: (213) 740-2805

Dr Jinnu Kim, DMD MS - in Los Angeles, CA