DR. KWANG JIB KIM (NPI# 1881901619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881901619 |
| Entity Type | Individual |
| Full Name | DR. KWANG JIB KIM |
| Credential | D.D.S. |
| Practice Address |
594 N. Indian Hill Blvd. Pomona CA 91767-5302 |
| Practice Telephone | 9096243553 |
| Practice Fax Number | 9096243554 |
| Mailing Telephone | 9096243553 |
| Mailing Fax Number | 9096243554 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | C34861 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122812 | Kwang Kim | Student in an Organized Health Care Education/Training Program | 16201 Northern Blvd # 790, Flushing, NY 11358-1634 | 2020-04-02 |
| 1063994721 | Kwang Il Kim | Counselor | 322 Nw 5th Ave Ste 301b, Portland, OR 97209-3828 | 2018-08-29 |
| 1578956579 | Kwang Soo Kim | Radiology | 6475 N Tower Ct, Lincolnwood, IL 60712-4207 | 2015-03-15 |
| 1417183047 | Kwang Cho Kim | Psychiatry & Neurology | 3745 Charter Pl, Ann Arbor, MI 48105-2826 | 2009-06-10 |
| 1205074838 | Kwang Han Kim | Dentist | 39150 Sundale Dr, Apt #102, Fremont, CA 94538-2068 | 2009-02-04 |
| 1861656498 | Kwang Kim | Pharmacist | 7350 N Kilbourn Ave, Lincolnwood, IL 60712-1809 | 2008-07-13 |
| 1003035114 | Kwang Seob Kim | Dentist | 18250 Colima Rd, 201, Rowland Heights, CA 91748-2602 | 2007-04-25 |
| 1578611356 | Kwang Jin Kim | Dentist | 3300 W Rosecrans Ave, Suite 105, Hawthorne, CA 90250-8218 | 2007-01-08 |
| 1356437842 | Kwang Hyun Kim | Dentist | 670 Las Gallinas Ave, San Rafael, CA 94903-3687 | 2006-10-04 |
| 1285725051 | Kwang Sook Kim | General Practice | 9636 Garden Grove Blvd # 16, Garden Grove, CA 92844-1530 | 2006-09-27 |
| Street Address |
594 N. INDIAN HILL BLVD. |
| City | POMONA |
| State | CA |
| Zip Code | 91767-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285379 | Hyun-joo Kang | Dentist | 1887 Wright St, Pomona, CA 91766-1012 | 2017-10-06 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1033506282 | Awad and Moore Dental Corporation | Dentist | 2071 Rancho Valley Dr Ste 140, Pomona, CA 91766-7105 | 2015-04-24 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1689820128 | Shailesh Manharlal Butala | Dentist | 744 E Holt Ave, Pomona, CA 91767-5601 | 2008-08-15 |
| 1942478490 | Brent Fung | Dentist | 795 E 2nd St # 3016a, Pomona, CA 91766-2007 | 2008-02-19 |
| 1447431887 | M Laura De Lopez Dental Corp | Dentist | 1320 N Garey Avenue, Pomona, CA 91767 | 2007-11-14 |
| 1124141932 | Joshua D. Ilan | Dentist | 18 Thiells Mount Ivy Rd, Suite 1, Pomona, NY 10970-3020 | 2007-04-08 |
| 1407970817 | Estelle Hwei-wan Liou | Dentist | 1524 N Orange Grove Ave, Pomona, CA 91767-3812 | 2007-03-19 |
| 1639293855 | Peter R. Auster | Dentist | 1540 Rt. 202, Suite 14, Pomona, NY 10970 | 2007-03-16 |
| 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.