DIANA KIM DDS A DENTAL CORPORATION (NPI# 1295386720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295386720 |
| Entity Type | Organization |
| Organization Name | DIANA KIM DDS A DENTAL CORPORATION |
| Practice Address |
117 W Willow St Ste A Pomona CA 91768-1829 |
| Practice Telephone | 9096228818 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | YASMINA MEDINA (SECRETARY) |
| Authorized Official Telephone | 9095860672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
117 W WILLOW ST STE A |
| City | POMONA |
| State | CA |
| Zip Code | 91768-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343754 | Jose M Sanchez Dental Corporation | Clinic/Center | 117 W Willow St Ste A, Pomona, CA 91768-1829 | 2020-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| 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 |
|---|---|---|---|---|
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1194957969 | Mario Pureco | Dentist | 1541 S Garey Ave, Pomona, CA 91766-5222 | 2009-08-12 |
| 1447484076 | Martinez & Zermeno II A Professinal Dental Corporation | Dentist | 1549 E Holt Ave, Pomona, CA 91767-5823 | 2009-05-11 |
| 1932341195 | Pomona Family Dental Practice | Dentist | 1021 E Holt Ave, Pomona, CA 91761-5720 | 2009-04-01 |
| 1861632010 | Armen Mardirosian | Dentist | 180 E Mission Blvd Suite A, Pomona, CA 91766 | 2009-03-01 |
| 1881842292 | Su Dentista De Confianza Dental Office | Dentist | 2127 N Towne Ave, Pomona, CA 91767-2422 | 2008-08-28 |
| 1003072141 | Miro Itskovich, Dds Inc. | Dentist | 847 Philadelphia St., Pomona, CA 91766-5714 | 2008-07-29 |
| 1285899443 | St Moises Dental | Dentist | 12 Rancho Camino Dr Ste 102, Pomona, CA 91766-7008 | 2008-07-26 |
| 1760642201 | Foster Jr, Charles L, Dds Inc | Dentist | 243 E Mission Blvd, Pomona, CA 91766-1846 | 2008-06-09 |
| 1144405226 | Universal Dental Group,inc | Dentist | 667 N Indian Hill Blvd, Pomona, CA 91767 | 2008-01-08 |
| Find all providers in POMONA | ||||
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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.