DR. ELIZABETH GA YEUN KIM (NPI# 1316495112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316495112 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH GA YEUN KIM |
| Credential | D.D.S. |
| Practice Address |
22611 Lake Forest Dr Ste C5 Lake Forest CA 92630 |
| Mailing Address |
22611 Lake Forest Dr Ste C5 Lake Forest CA 92630-1700 |
| Practice Telephone | 9494460700 |
| Mailing Telephone | 9494460700 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100655 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
100655 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1955 Lake Ave, Altadena, CA 910013037 | 6265859544 | |
| 262 S Glassell St, Orange, CA 928661918 | 7142880058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891206538 | Elizabeth S Kim | Nurse Practitioner | 100 Medical Plaza Suite 630e, Los Angeles, CA 90095-7368 | 2017-10-20 |
| 1093184152 | Elizabeth J Kim | Behavioral Analyst | 26565 Agoura Rd # 119, Calabasas, CA 91302-1984 | 2015-09-18 |
| 1932594751 | Elizabeth Megas Kim | Anesthesiology | 729 Rugby Rd, Bryn Mawr, PA 19010-3832 | 2015-03-30 |
| 1689970832 | Elizabeth Kim | Occupational Therapist | 95-321 Laipu Pl, Mililani, HI 96789-5942 | 2011-02-07 |
| 1689738965 | Elizabeth A Kim | Nurse Practitioner | 12138 Cypress Spring Rd, Clarksburg, MD 20871-4417 | 2006-12-20 |
| 1669480778 | Elizabeth J. Kim | Psychologist | 13030 Euclid St., Ste 118, Gardengrove, CA 92843-1334 | 2006-08-04 |
| 1619599420 | Elizabeth Kim | Student in an Organized Health Care Education/Training Program | 2545 Schoenersville Rd Fl 5, Bethlehem, PA 18017-7300 | 2020-05-14 |
| 1831726744 | Elizabeth Yuhjin Kim | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-03-23 |
| 1649821752 | Elizabeth Kim | Counselor | 650 I St Ne, Washington, DC 20002-4350 | 2019-09-20 |
| 1730747031 | Elizabeth June Kim | Occupational Therapist | 2121 Pine St, San Francisco, CA 94115-2829 | 2019-05-31 |
| Street Address |
22611 LAKE FOREST DR STE C5 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092401 | Jino Park Dds Inc | Clinic/Center | 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630-1700 | 2020-01-20 |
| 1487181459 | Trung L Tran Dds Inc | Dentist | 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630-1700 | 2017-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190579 | Sean Wang | Dentist | 222 Finch, Lake Forest, CA 92630-1436 | 2019-02-12 |
| 1568935351 | S Abadi Dental Corporation | Dentist | 24602 Raymond Way Ste 211, Lake Forest, CA 92630-8420 | 2019-01-04 |
| 1811497167 | Sofia Rodriguez Dds, Inc. | Dentist | 22942 Ridge Route Dr Ste 103, Lake Forest, CA 92630-3693 | 2018-02-13 |
| 1639601578 | Eliza Berris | Dentist | 22111 Timberline Way, Lake Forest, CA 92630-3431 | 2017-03-30 |
| 1396198636 | Mariam Soldin-wasfi | Dentist | 24261 Grass St, Lake Forest, CA 92630-5243 | 2016-07-22 |
| 1093107377 | Dr Afzalis Lake Forest Lifetime Dental Group PC | Dentist | 23731 El Toro Rd Ste D, Lake Forest, CA 92630-8615 | 2015-02-24 |
| 1003212333 | Ramin Khoshsar | Dentist | 26501 Rancho Pkwy S, Suite 202, Lake Forest, CA 92630-8358 | 2014-11-13 |
| 1043627037 | Michael Gilbert | Dentist | 225 E Deerpath Ste 290, Lake Forest, IL 60045-1973 | 2014-07-22 |
| 1316372238 | Jeffrey Chiung-neng Huang | Dentist | 22373 El Toro Rd, Lake Forest, CA 92630-5053 | 2013-09-10 |
| 1457784050 | Tarsa Hatefi Ahmadnia | Dentist | 22855 Lake Forest Drive Suite B, Lake Forest, CA 92630 | 2013-08-19 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on DR. ELIZABETH GA YEUN 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.