DR. JUSTIN E KIM (NPI# 1114348265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114348265 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN E KIM |
| Credential | D.D.S. |
| Practice Address |
11140 Mesquite Ave Loma Linda CA 92354-6556 |
| Practice Telephone | 4087108121 |
| Mailing Telephone | 4087108121 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
63093 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421666 | Justin Howoong Kim | Acupuncturist | 13 Overlook Trl, Apt.1323, Peabody, MA 01960-3895 | 2016-08-08 |
| 1811353857 | Justin Kim | Optometrist | 1350 Galaxy Dr Ne, Lacey, WA 98516-4757 | 2016-01-06 |
| 1336308451 | Justin Jungchul Kim | Acupuncturist | 15132 S Western Ave, Gardena, CA 90249-4313 | 2008-06-04 |
| 1043489248 | Justin Taehwan Kim | Surgery | 7500 Kirby Dr, #1523, Houston, TX 77030-4300 | 2008-02-21 |
| 1194718114 | Justin M Kim | Optometrist | 130 Norris Ln, Boerne, TX 78006-2893 | 2005-08-24 |
| 1043810674 | Justin Kim | Social Worker | 426 Atlantic Ave, East Rockaway, NY 11518-1431 | 2020-11-01 |
| 1447858766 | Justin Yunouk Kim | Dentist | 301 E Buena Vista St, Barstow, CA 92311-2803 | 2020-10-09 |
| 1427669290 | Justin Kim | Dentist | 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 | 2020-08-13 |
| 1194383950 | Justin Kim | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-06-05 |
| 1386128437 | Justin Sungmin Kim | Registered Nurse | 900 23rd St Nw, Washington, DC 20037-2342 | 2018-09-24 |
| Street Address |
11140 MESQUITE AVE |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-6556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| 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 |
|---|---|---|---|---|
| 1306458583 | Melissa Michelle Khoury | Dentist | 10886 Loro Verde Ave, Loma Linda, CA 92354-2531 | 2020-08-19 |
| 1700445152 | Cecilia Miranda-oglesby | Dentist | 24584 Loma Vista Dr, Loma Linda, CA 92354-3332 | 2019-06-10 |
| 1982124855 | Cherice Singee Lim | Dentist | 11092 Anderson St Prince Hall #3301, Loma Linda, CA 92350-0001 | 2017-06-22 |
| 1073966933 | Maria Salud Garcia | Dentist | 10712 1/2 Poplar St, Loma Linda, CA 92354-2204 | 2016-07-15 |
| 1982053161 | Youngseong Koh | Dentist | 26354 Long St, Loma Linda, CA 92354-6566 | 2016-06-08 |
| 1912352360 | Hyunjin Choi | Dentist | 24682 Stewart St Apt A, Loma Linda, CA 92354-2786 | 2016-05-03 |
| 1366844888 | Kwang-su Peter Chung | Dentist | 11546 Murphy St, Loma Linda, CA 92354-3620 | 2014-09-16 |
| 1295168102 | Michael Staker | Dentist | 11488 Via Capri, Loma Linda, CA 92354-3852 | 2013-08-14 |
| 1609212984 | Maria Patricia Becerra Garcia | Dentist | 24850 Prospect Ave Apt F, Loma Linda, CA 92354-2846 | 2013-05-14 |
| 1073958930 | Brenda E Miller | Dentist | 11750 Randolph Ct, Loma Linda, CA 92354-4187 | 2013-05-06 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on DR. JUSTIN E KIM.
| 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.