DR. JIN KIM (NPI# 1588825418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588825418 |
| Entity Type | Individual |
| Full Name | DR. JIN KIM |
| Credential | D.D.S. |
| Practice Address |
23922 Summerhill Ln Valencia CA 91354 |
| Mailing Address |
2709 Piedmont Ave Apt 12 Montrose CA 91020-1397 |
| Practice Telephone | 8185500830 |
| Mailing Telephone | 6618577662 |
| Mailing Fax Number | 6614503662 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60884 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
24513 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
10047 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1790348886 | Jin Ho Kim | Acupuncturist | 18623 Highway 99 Ste 260, Lynnwood, WA 98037-4555 | 2019-04-15 |
| 1801370093 | Jin Hyun Kim | Acupuncturist | 332 Route 100 Ste 2, Somers, NY 10589-3259 | 2018-09-24 |
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1740518174 | Jin Kuen Kim | Acupuncturist | 503 N Pacific Coast Hwy, Redondo Beach, CA 90277-2104 | 2009-11-23 |
| 1629209341 | Jin Young Kim | Dentist | 5811 Pine Ave Ste B, Chino Hills, CA 91709-6541 | 2009-07-29 |
| 1649412719 | Jin Hwan Kim | Pharmacy Technician | 856 Stockbridge Dr, Hockessin, DE 19707-1431 | 2009-04-03 |
| 1306002480 | Jin Koo Kim | Dentist | 19 Demarco Rd, Sudbury, MA 01776-2019 | 2008-07-29 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| 1437258423 | Jin Tae Kim | Dentist | 2605 Eastern Ave, #2, Sacramento, CA 95821-6614 | 2006-09-22 |
| Street Address |
23922 SUMMERHILL LN |
| City | VALENCIA |
| State | CA |
| Zip Code | 91354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558765438 | Jin Young Kim, D.d.s., Inc. | Dentist | 23922 Summerhill Ln, Valencia, CA 91354 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265055966 | Jessica Schulman | Dietitian, Registered | 24132 Village Circle, Valencia, CA 91354 | 2020-05-28 |
| 1710544820 | Krista Roden, O.d., Inc. | Optometrist | 24581 Copper Hill Dr, Valencia, CA 91354 | 2019-05-23 |
| 1427567106 | Emily Natasha Murphy | Nurse Practitioner | 24125 Tango Dr, Valencia, CA 91354 | 2017-09-25 |
| 1760938039 | Sarah Dwyer | Case Manager/Care Coordinator | 24015 Copper Hill Dr #5302, Valencia, CA 91354 | 2016-08-28 |
| 1245604784 | Amber Gaines | Physical Therapist | 24231 Blossom Ct., Valencia, CA 91354 | 2015-11-20 |
| 1235393075 | Victoria Fye | Counselor | 27800 Mcbean Parkway, No. 370, Valencia, CA 91354 | 2008-07-10 |
| 1265566137 | Kimber Lea Schafer | Marriage & Family Therapist | 28065 Ave. Stanford, Valencia, CA 91354 | 2007-03-15 |
| 1508378571 | Lawrence Winston Henry | Pharmacist | 23850 Copperhill Dr, Valencia, CA 91354 | 2017-10-31 |
| 1740635374 | Keshia Kirtz | Social Worker | 28160 Mcbean Pkwy, Apt 7302, Valencia, CA 91354-1119 | 2016-05-02 |
| 1669837456 | Rhodalyn Nanalis | Nurse Practitioner | 24578 Montevista Cir, Valencia, CA 91354-1226 | 2015-12-21 |
| Find all providers in zip 91354 | ||||
| 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 |
|---|---|---|---|---|
| 1992310619 | Ryan Tadashi Arima | Dentist | 27450 Tourney Rd Ste 220, Valencia, CA 91355-5623 | 2020-09-10 |
| 1619463106 | Andre Shook | Dentist | 27450 Tourney Rd Ste 250, Valencia, CA 91355-5624 | 2018-07-08 |
| 1871090480 | Marvin Tong, Dds, A Professional Corporation | Dentist | 27450 Tourney Rd Ste 130, Valencia, CA 91355-1851 | 2018-04-10 |
| 1134582752 | Laila-christine Assaad, Dmd, A Professional Corp | Dentist | 23884 Copperhill Dr, Valencia, CA 91354-1701 | 2016-03-31 |
| 1467853952 | Grace Hwang | Dentist | 25880 Tournament Rd Ste 101, Valencia, CA 91355-2376 | 2014-09-16 |
| 1538585229 | Susan Tschirhart Weber | Dentist | 27450 Tourney Road #270, Valencia, CA 91355 | 2014-03-05 |
| 1770918062 | Romualdo J. Turla, Dds, Inc | Dentist | 27420 Tourney Rd Ste 140, Valencia, CA 91355-5632 | 2013-09-05 |
| 1215204516 | Patricia A Guerrero | Dentist | 27730 Mcbean Pkwy, Valencia, CA 91354-1430 | 2011-11-30 |
| 1083854442 | John G Bishop | Dentist | 23128 Yvette Ln, Valencia, CA 91355-3090 | 2009-02-25 |
| 1710135181 | Rudely Cecile Canlas | Dentist | 23925 Windward Ln, Valencia, CA 91355-1798 | 2008-08-28 |
| Find all providers in VALENCIA | ||||
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| 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.