BRIAN SONGSU KIM (NPI# 1205043395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205043395 |
| Entity Type | Organization |
| Organization Name | BRIAN SONGSU KIM |
| Other Organization Name | HOMETOWN DENTAL CARE |
| Practice Address |
1406 Jefferson St Delano CA 93215-2222 |
| Practice Telephone | 6617259430 |
| Practice Fax Number | 6617257221 |
| Mailing Telephone | 6617259430 |
| Mailing Fax Number | 6617257221 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN SONGSU KIM (DENTISTOWNER) |
| Authorized Official Telephone | 6617259430 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| HOMETOWN DENTAL CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881801975 | Brian Songsu Kim | Dentist | 1245 7th St, Wasco, CA 93280-1820 | 2007-05-17 |
| 1235346347 | Brian Songsu Kim | Dentist | 100 W Columbus St Ste 200, Bakersfield, CA 93301-1200 | 2007-05-17 |
| Street Address |
1406 JEFFERSON ST |
| City | DELANO |
| State | CA |
| Zip Code | 93215-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295868636 | Brian Songsu Kim | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
| 1477196244 | Dr D S Park Dental Inc | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2019-10-23 |
| 1295141711 | Lauren Heajin Kim | Pharmacist | 1406 Jefferson St, Delano, CA 93215-2222 | 2014-07-03 |
| 1730212952 | Hanh Ngoc Nguyen | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699396 | Clinca Sierra Vista | Clinic/Center | 425 Del Sol Parkway, Delano, CA 93215 | 2019-10-02 |
| 1609367762 | Elizabeth Galaviz Alcaraz | Marriage & Family Therapist | 828 High Street, Suite C, Delano, CA 93215 | 2018-05-24 |
| 1972962819 | Joy Nneka Iwuchukwu | Nurse Practitioner | 1201 Jefferson Street, Delano, CA 93215 | 2016-02-21 |
| 1154715217 | Amalia Sanchez | Counselor | 828 High Street, Suite C, Delano, CA 93215 | 2015-03-26 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1629356522 | Clinica Sierra Vista | Counselor | 1401 Hiett Ave, Delano, CA 93215 | 2011-07-26 |
| 1235435082 | Jonathan James Yip | Psychologist | 2327 W. Cecil Ave., Delano, CA 93215 | 2011-01-26 |
| 1669782108 | Lydia Reyes | Marriage & Family Therapist | 828 High Street, Ste.c, Delano, CA 93215 | 2010-10-18 |
| 1932341385 | Lydia Soriano Zapanta | Obstetrics & Gynecology | 1619 Cecil Ave, Delano, CA 93215 | 2009-04-01 |
| 1669624714 | Gurvinder Kaur | Pharmacist | 1800 Cecil Ave, Delano, CA 93215 | 2008-10-21 |
| Find all providers in zip 93215 | ||||
| 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 |
|---|---|---|---|---|
| 1275004228 | Ilya Alayev | Dentist | 730 Woollomes Ave # 93215, Delano, CA 93215-9550 | 2018-12-16 |
| 1801166954 | Crow River Dental | Dentist | 405 Babcock Blvd. E, Suite 130, Delano, MN 55328 | 2012-01-06 |
| 1073638086 | Hirofumi Nakatsuchi | Dentist | 441 Diaz Ave, Delano, CA 93215-4121 | 2007-03-20 |
| 1396869673 | Roger H Gerloff | Dentist | 125 2nd St N, Delano, MN 55328-8270 | 2007-03-19 |
| 1295868636 | Brian Songsu Kim | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
| 1457418840 | Roger Rivera | Dentist | 2232 Girard St, Delano, CA 93215-3808 | 2007-01-03 |
| 1043399645 | Comprehensive Dental Practice Orthodontics & Implants | Dentist | 2236 Girard St, Delano, CA 93215-3808 | 2006-11-03 |
| 1912088915 | Mark James Madden | Dentist | 707 Elm Ave, Delano, MN 55313-9183 | 2006-10-17 |
| 1336127125 | Susan Joan Magraw | Dentist | 1320 Babcock Blvd E, Delano, MN 55328-2809 | 2006-01-03 |
| 1942295068 | Jennifer Ann P. Ramirez | Dentist | 1606 High St, Delano, CA 93215-1719 | 2005-09-14 |
| Find all providers in DELANO | ||||
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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.