DR. SOO YEON KIM (NPI# 1821601121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821601121 |
| Entity Type | Individual |
| Full Name | DR. SOO YEON KIM |
| Credential | DDS |
| Practice Address |
4020 Chino Hills Pkwy Ste A Chino Hills CA 91709-2678 |
| Practice Telephone | 9095974711 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105375 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484520 | Soo Yeon Kim | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-01 |
| 1093265464 | Soo Yeon Kim | Speech-Language Pathologist | 3555 223rd St, Bayside, NY 11361-2236 | 2016-10-10 |
| 1073868899 | Soo Yeon Kim | Physical Medicine & Rehabilitation | 3329 Bainbridge Ave, Bronx, NY 10467-2801 | 2012-07-18 |
| Street Address |
4020 CHINO HILLS PKWY STE A |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639225089 | Antone Larragan Fernandes | Dentist | 4020 Chino Hills Pkwy Ste A, Chino Hills, CA 91709-2678 | 2007-01-26 |
| 1326254384 | James P. Fabozzi Dds, A Dental Corporation | Dentist | 4020 Chino Hills Pkwy Ste A, Chino Hills, CA 91709-2678 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| 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 |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1689281263 | Kitesh Patel | Dentist | 15689 Silverpointe Ave, Chino Hills, CA 91709-8718 | 2020-09-28 |
| 1568095479 | Quinn Yu Dds Corp | Dentist | 13850 City Center Dr Ste 5000, Chino Hills, CA 91709-5415 | 2020-02-19 |
| 1003382268 | Dr. Man's Happy Dental Group, Inc. | Dentist | 14270 Chino Hills Pkwy Ste D, Chino Hills, CA 91709-4880 | 2018-10-15 |
| 1760960793 | Chino Hills Family Dentistry | Dentist | 4183-h Chino Hills Parkway, Chino Hills, CA 91709-3781 | 2018-08-01 |
| 1063904522 | Danny Cho | Dentist | 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709-5831 | 2018-05-31 |
| 1255839668 | Kalyani Dds Inc | Dentist | 2130 Grand Ave Ste H, Chino Hills, CA 91709-4867 | 2018-01-31 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1518496983 | Brinda Kansagra | Dentist | 5807 Pine Ave, Chino Hills, CA 91709-6532 | 2017-06-08 |
| 1235684796 | Surabhi Gajendragadkar | Dentist | 3660 Grand Ave, Chino Hills, CA 91709-1477 | 2016-08-24 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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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.