DR. JIN YOUNG KIM (NPI# 1629209341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629209341 |
| Entity Type | Individual |
| Full Name | DR. JIN YOUNG KIM |
| Credential | DDS, MS |
| Practice Address |
5811 Pine Ave Ste B Chino Hills CA 91709-6541 |
| Practice Telephone | 9093934800 |
| Practice Fax Number | 8883930564 |
| Mailing Telephone | 9093934800 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
58103 | CA | 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 |
| 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 |
| 1588825418 | Jin Kim | Dentist | 23922 Summerhill Ln, Valencia, CA 91354 | 2008-06-23 |
| 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 |
5811 PINE AVE STE B |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-6541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750873923 | Bahar Movahed Bashiri | Dentist | 15390 Fairfield Ranch Rd Ste E, Chino Hills, CA 91709-8854 | 2018-06-04 |
| 1174904825 | Ping-lin Ben Chung, Dds, Dmsc, Inc | Dentist | 4200 Chino Hills Pkwy Ste 860, Chino Hills, CA 91709-3784 | 2015-06-17 |
| 1578956447 | Sandra L Yen | Dentist | 13089 Peyton Dr # C293, Chino Hills, CA 91709-6018 | 2015-03-16 |
| 1487056370 | Weston Carpiaux | Dentist | 3110 Chino Ave Ste 200, Chino Hills, CA 91709-1264 | 2014-09-23 |
| 1750549820 | Ping-lin Ben Chung | Dentist | 4200 Chino Hills Pkwy, Ste 860, Chino Hills, CA 91709 | 2008-05-27 |
| 1639225089 | Antone Larragan Fernandes | Dentist | 4020 Chino Hills Pkwy Ste A, Chino Hills, CA 91709-2678 | 2007-01-26 |
| 1841291176 | Nihar D Tanna | Dentist | 2569 Chino Hills Pkwy Unit K, Chino Hills, CA 91709-5120 | 2005-08-09 |
| 1780111922 | Nihar D Tanna Dds Ms Incorporated | Dentist | 2569 Chino Hills Pkwy Unit K, Chino Hills, CA 91709-5120 | 2017-05-18 |
| 1639345861 | John Robert Bottala | Dentist | 3110 Chino Ave, Suite 200, Chino Hills, CA 91709-1211 | 2008-05-07 |
| 1619173531 | William Henry Harrison | Dentist | 3233 Grand Ave, Suire E, Chino Hills, CA 91709-1489 | 2007-06-26 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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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.