DR. JIN Y KIM (NPI# 1396881041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396881041 |
| Entity Type | Individual |
| Full Name | DR. JIN Y KIM |
| Credential | DDS, MPH, MS |
| Practice Address |
620 N Diamond Bar Blvd Diamond Bar CA 91765-1037 |
| Practice Telephone | 9098613043 |
| Practice Fax Number | 9098603263 |
| Mailing Telephone | 9098613043 |
| Mailing Fax Number | 9098603263 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
41267 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1790348886 | Jin Ho Kim | Acupuncturist | 18623 Highway 99 Ste 260, Lynnwood, WA 98037-4555 | 2019-04-15 |
| 1801370093 | Jin Hyun Kim | Acupuncturist | 332 Route 100 Ste 2, Somers, NY 10589-3259 | 2018-09-24 |
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1740518174 | Jin Kuen Kim | Acupuncturist | 503 N Pacific Coast Hwy, Redondo Beach, CA 90277-2104 | 2009-11-23 |
| 1629209341 | Jin Young Kim | Dentist | 5811 Pine Ave Ste B, Chino Hills, CA 91709-6541 | 2009-07-29 |
| 1649412719 | Jin Hwan Kim | Pharmacy Technician | 856 Stockbridge Dr, Hockessin, DE 19707-1431 | 2009-04-03 |
| 1306002480 | Jin Koo Kim | Dentist | 19 Demarco Rd, Sudbury, MA 01776-2019 | 2008-07-29 |
| 1588825418 | Jin Kim | Dentist | 23922 Summerhill Ln, Valencia, CA 91354 | 2008-06-23 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| Street Address |
620 N DIAMOND BAR BLVD |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700941416 | Shen Ling D.m.d. & Jin Kim D.d.s. Inc | Dentist | 620 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| Find all providers in zip 91765 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679932032 | Li Dds Dental Inc. | Dentist | 3333 S Brea Canyon Rd Ste 121, Diamond Bar, CA 91765-3783 | 2016-02-15 |
| 1598924292 | Song Hoe Koo | Dentist | 2040 S Brea Canyon Rd, Ste #210, Diamond Bar, CA 91765 | 2008-06-06 |
| 1114191251 | Glenn Hsuan Chen Chang | Dentist | 3333 S Brea Canyon Rd Ste 203, Diamond Bar, CA 91765-3784 | 2008-04-19 |
| 1700941416 | Shen Ling D.m.d. & Jin Kim D.d.s. Inc | Dentist | 620 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 | 2006-12-22 |
| 1396148771 | Glenn Chang Dds Inc | Dentist | 20657 Golden Springs Dr, Suite205b, Diamond Bar, CA 91789-3875 | 2014-09-30 |
| 1619034535 | Dr John S Yun, D.m.d. | Dentist | 750 N Diamond Bar Blvd, Suite 112, Diamond Bar, CA 91765-1023 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
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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.