CHARLES SHIM D.D.S., A DENTAL CORPOATION (NPI# 1952707887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952707887 |
| Entity Type | Organization |
| Organization Name | CHARLES SHIM D.D.S., A DENTAL CORPOATION |
| Practice Address |
3288 E Anaheim St Long Beach CA 90804-3818 |
| Practice Telephone | 2132197635 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | DR. CHARLES SHIM (PRESIDENT) |
| Authorized Official Telephone | 2132197635 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
56225 | CA | Ambulatory Health Care Facilities |
| Street Address |
3288 E ANAHEIM ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902006554 | Charles Shim | Dentist | 3288 E Anaheim St, Long Beach, CA 90804-3818 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962061036 | Sheryl A. Kam Dds & Curtis P. Kam Dds Ptrs | Clinic/Center | 3816 Woodruff Ave Ste 310, Long Beach, CA 90808-2146 | 2019-06-11 |
| 1790228849 | A Tsibel Dds Dental Corp | Clinic/Center | 2211 E 7th St Ste C, Long Beach, CA 90804-4515 | 2016-11-21 |
| 1174986152 | Emigh Dental Partnership A General Partnership | Clinic/Center | 5500 E Atherton St Ste 430, Long Beach, CA 90815-4018 | 2016-03-29 |
| 1750793345 | Ananda R. Murthy, Dds, Inc. | Clinic/Center | 620 E San Antonio Dr, Long Beach, CA 90807-2203 | 2014-05-30 |
| 1982947073 | Dental Wear | Clinic/Center | 1401 E 4th St, Suite A, Long Beach, CA 90802-1800 | 2013-03-27 |
| 1588273411 | Ahmad Karimi Dmd Inc. | Clinic/Center | 3840 Woodruff Ave Ste 208, Long Beach, CA 90808-2149 | 2020-07-27 |
| 1124646047 | David C Yang Dds, Inc. | Clinic/Center | 801 E Anaheim St, Long Beach, CA 90813-3550 | 2020-07-07 |
| 1255953121 | Daniel Feldman Dds Inc | Clinic/Center | 2700 N Bellflower Blvd Ste 117, Long Beach, CA 90815-1100 | 2020-05-13 |
| 1033756465 | Teresa Avendano-galvez Dmd Inc | Clinic/Center | 1414 W Willow St, Long Beach, CA 90810-3119 | 2019-12-04 |
| 1295389815 | Hyun W Kim Dds Inc | Clinic/Center | 1777 N Bellflower Blvd Ste 102, Long Beach, CA 90815-4019 | 2019-07-31 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on CHARLES SHIM D.D.S., A DENTAL CORPOATION.
| 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.