DR. ILJOON KIM (NPI# 1457429409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457429409 |
| Entity Type | Individual |
| Full Name | DR. ILJOON KIM |
| Credential | DMD |
| Practice Address |
11700 South St Suite 202 Artesia CA 90701-6611 |
| Practice Telephone | 5629245437 |
| Mailing Telephone | 5629245437 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
47921 | CA | Dental Providers |
| Street Address |
11700 SOUTH ST SUITE 202 |
| City | ARTESIA |
| State | CA |
| Zip Code | 90701-6611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134515885 | Rosalind Tuazon-jarvina Roberson | Occupational Therapist | 11700 South St, Artesia, CA 90701-6611 | 2015-04-09 |
| 1356537070 | Wangpichit and Kim Professional Dental Corporation | Dentist | 11700 South St, Suite 202, Artesia, CA 90701-6611 | 2007-09-17 |
| 1770706558 | Kallaya Wangpichit | Dentist | 11700 South St, Suite 202, Artesia, CA 90701-6611 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
| 1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
| 1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
| 1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
| 1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
| 1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
| 1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
| 1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
| Find all providers in zip 90701 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720155351 | Donald M Brown | Dentist | 11635 E South St, Artesia, CA 90702 | 2006-11-29 |
| 1356537070 | Wangpichit and Kim Professional Dental Corporation | Dentist | 11700 South St, Suite 202, Artesia, CA 90701-6611 | 2007-09-17 |
| 1659591931 | Donald M. Brown D.d.s. | Dentist | 11635 E South St, Artesia, CA 90702 | 2007-04-27 |
| 1770706558 | Kallaya Wangpichit | Dentist | 11700 South St, Suite 202, Artesia, CA 90701-6611 | 2007-04-10 |
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| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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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.