MICHAEL JONG-GYU KIM (NPI# 1174945273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174945273 |
| Entity Type | Individual |
| Full Name | MICHAEL JONG-GYU KIM |
| Credential | D.D.S |
| Practice Address |
27382 Calle Arroyo San Juan Capistrano CA 92675-2746 |
| Practice Telephone | 9492186888 |
| Mailing Telephone | 9492186888 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
101618 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
| 1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
| 1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
| 1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
| 1730294745 | Michael S. Kim | Occupational Therapist | Irwin Army Community Hospital, 600 Caisson Hill Road, Attn: Mcxx-cld-qm (cred) Terry Hill, Fort Riley, KS 66442-5037 | 2006-08-20 |
| Street Address |
27382 CALLE ARROYO |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134698467 | Michael Kim Dds, PC | Clinic/Center | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2018-11-15 |
| 1700381308 | Zachary Allen Mursic | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| 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 |
|---|---|---|---|---|
| 1538704168 | Diala Kseibi | Dentist | 26440 Paseo Infinita, San Juan Capistrano, CA 92675-8515 | 2019-11-07 |
| 1982124624 | Kelly Kaban | Dentist | 32124 Paseo Adelanto Ste 2, San Juan Capistrano, CA 92675-3636 | 2017-06-23 |
| 1750641726 | Shokouh Ansari | Dentist | 32122 Paseo Adelanto Ste 1b, San Juan Capistrano, CA 92675-3605 | 2012-05-23 |
| 1124251996 | Homecare Dentists | Dentist | 27126 Paseo Espada Ste 705, San Juan Capistrano, CA 92675-2721 | 2009-08-27 |
| 1407010523 | Eric S Wilson | Dentist | 31654 Rancho Viejo Rd, Suite I-1, San Juan Capistrano, CA 92675-2773 | 2008-07-17 |
| 1386808400 | Luis J Riberos | Dentist | 31654 Rancho Viejo Rd Ste I-1, San Juan Capistrano, CA 92675-6754 | 2008-07-17 |
| 1518177732 | Bin Vinh Hoang | Dentist | 27514 Calle Arroyo Ste A, San Juan Capistrano, CA 92675-6767 | 2007-05-23 |
| 1619186079 | Robert Kent Faber | Dentist | 31931 Camino Capistrano, San Juan Capistrano, CA 92675-3239 | 2007-05-22 |
| 1427275478 | Tram Truong Hall | Dentist | 30220 Rancho Viejo Rd Ste D, San Juan Capistrano, CA 92675-1568 | 2007-04-19 |
| 1104978295 | Carlos H Restrepo | Dentist | 31920 Del Obispo St, Suite 160, San Juan Capistrano, CA 92675-3187 | 2007-01-17 |
| Find all providers in SAN JUAN CAPISTRANO | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
Please comment or provide details below to improve the information on MICHAEL JONG-GYU 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.