DR. JOO HYUNG KIM (NPI# 1770002511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770002511 |
| Entity Type | Individual |
| Full Name | DR. JOO HYUNG KIM |
| Credential | DDS |
| Practice Address |
8035 W Manchester Ave Playa Del Rey CA 90293-7985 |
| Mailing Address |
456 S Harvard Blvd Apt 204 Los Angeles CA 90020-3417 |
| Practice Telephone | 3108228118 |
| Mailing Telephone | 2135951410 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DDS101622 | CA | Dental Providers |
| Street Address |
8035 W MANCHESTER AVE |
| City | PLAYA DEL REY |
| State | CA |
| Zip Code | 90293-7985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538209150 | Ron R Curtis | Dentist | 8035 W Manchester Ave, Suite A, Playa Del Rey, CA 90293-7985 | 2007-02-07 |
| 1619222726 | Vincent Peter Scott | Dentist | 8035 W Manchester Ave, Playa Del Rey, CA 90293-7985 | 2012-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1245680271 | Ryan Cheung | Dentist | 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 | 2016-06-21 |
| 1992166912 | Laquicha Westervelt | Nurse Practitioner | 8700 Pershing Drive, 4209, Playa Del Rey, CA 90293 | 2016-03-18 |
| 1447320338 | Shahrzad Zarrinnam | Dentist | 8035 W. Manchester Ave. Ste. B, Playa Del Rey, CA 90293 | 2006-11-08 |
| 1134213770 | Pooneh Soltani | Dentist | 5901 E. 7th Street, Long Beach, CA 90293 | 2006-10-03 |
| 1447241575 | Dennis P Waldman Dds Inc | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2005-10-28 |
| 1356744866 | Dennis Waldman | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2014-09-29 |
| 1073637187 | Courtney Hatsuye Yoshikawa | Dentist | 7740 W Manchester Ave, Suite 108, Playa Del Rey, CA 90293-6400 | 2007-03-16 |
| 1356599534 | George P Gleckler | Marriage & Family Therapist | 8040 W Manchester Ave # A316, Playa Del Rey, CA 90293-7100 | 2008-08-30 |
| 1245437250 | David Chien | Nuclear Medicine | 8040 W Manchester Ave #311, Playa Del Rey, CA 90293-7104 | 2007-07-02 |
| Find all providers in zip 90293 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | PLAYA DEL REY |
| Zip Code | 90293 |
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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.