KYUNG MYUN KIM DDS CORPORATION (NPI# 1194103093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194103093 |
| Entity Type | Organization |
| Organization Name | KYUNG MYUN KIM DDS CORPORATION |
| Practice Address |
24953 Paseo De Valencia Ste 13c Laguna Hills CA 92653-4344 |
| Practice Telephone | 9497704275 |
| Practice Fax Number | 9497700538 |
| Mailing Telephone | 9497704275 |
| Mailing Fax Number | 9497700538 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | YANG KIM (ADMINISTRATOR) |
| Authorized Official Telephone | 7145052010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11815 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G93667-01 | 05 |
| Street Address |
24953 PASEO DE VALENCIA STE 13C |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-4344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1255965562 | David M Harris Dental Corporation | Dentist | 25222 Cabot Rd, Laguna Hills, CA 92653-5504 | 2020-02-25 |
| 1760040836 | Koohyar Karimi Dds Inc | Dentist | 24942 Silverleaf Ln, Laguna Hills, CA 92653-4917 | 2019-06-03 |
| 1871066589 | Seyedeh Golnaz Mohtasham-zokaeian | Dentist | 27155 Woodbluff Rd, Laguna Hills, CA 92653-6504 | 2019-01-04 |
| 1619353208 | Brian D Kim Dds Inc | Dentist | 25211 Paseo De Alicia # 200, Laguna Hills, CA 92653-4614 | 2015-08-05 |
| 1487032314 | Payam C. Ataii | Dentist | 24881 Alicia Pkwy Ste H, Laguna Hills, CA 92653-4617 | 2015-05-12 |
| 1598168759 | Alicia Pkwy Dental | Dentist | 25401 Alicia Pkwy Ste J, Laguna Hills, CA 92653-4958 | 2014-10-02 |
| 1760806269 | Madhuri S Takale Dds Inc | Dentist | 25381 Alicia Pkwy Ste R, Laguna Hills, CA 92653-4983 | 2014-02-05 |
| 1821362328 | Eric Cho D.d.s. A Professional Corporation | Dentist | 24953 Paseo De Valencia Ste 3c, Laguna Hills, CA 92653-4337 | 2012-02-29 |
| 1881966174 | Alexander Chang | Dentist | 26782 Moore Oaks Rd, Laguna Hills, CA 92653-7559 | 2012-02-01 |
| 1235460916 | Angham Al-abdulla | Dentist | 24953 Paseo De Valencia Ste 26b, Laguna Hills, CA 92653-4341 | 2010-01-20 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on KYUNG MYUN KIM DDS CORPORATION.
| 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.