JAE G. KIM PROFESSIONAL DENTAL CORPORATION (NPI# 1043439953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043439953 |
| Entity Type | Organization |
| Organization Name | JAE G. KIM PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
2500 Wilshire Blvd Suite 1100 Los Angeles CA 90057-4303 |
| Practice Telephone | 2133859710 |
| Practice Fax Number | 2133859343 |
| Mailing Telephone | 2133859710 |
| Mailing Fax Number | 2133859343 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. INWOO YI (SECRETARY) |
| Authorized Official Telephone | 2133859710 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
41439 | CA | Dental Providers |
| Street Address |
2500 WILSHIRE BLVD SUITE 1100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651739 | Home Health Care Agency, Inc. | Home Health | 2500 Wilshire Blvd, Suite 1230, Los Angeles, CA 90057-4303 | 2005-12-29 |
| 1760977250 | Cynthia J Villacres | Counselor | 2500 Wilshire Blvd, Los Angeles, CA 90057 | 2018-06-27 |
| 1699215277 | Ricardo Larrain | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057 | 2017-03-02 |
| 1407209240 | Jasmone Sabrina Riggins | Case Manager/Care Coordinator | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2016-07-17 |
| 1376993261 | Saul Alejandro Vazquez | Licensed Psychiatric Technician | 2500 Wilshire Blvd, 5th Fl, Los Angeles, CA 90057-4303 | 2016-06-21 |
| 1760856397 | Henry Chhuon | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-11-19 |
| 1770956120 | Dimitrios Pexaras | Counselor | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-11-06 |
| 1467824797 | Alyssa A Dotson | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-10-26 |
| 1316322480 | Ambika Chandramohan | Counselor | 2500 Wilshire Blvd, Suite 500, Los Angeles, CA 90057-4303 | 2015-07-29 |
| 1316321821 | Briuana Jennet Clady | Student in an Organized Health Care Education/Training Program | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| 1972147940 | Catherine Margary Cuaco Begazo | Dentist | 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 | 2019-11-03 |
| 1386285427 | Jefferson Dental Corporation | Dentist | 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 | 2019-09-30 |
| 1043868698 | Semyon Segal | Dentist | 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 | 2019-08-27 |
| 1144875592 | Jay Singh | Dentist | 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 | 2019-08-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on JAE G. KIM PROFESSIONAL DENTAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.