DR. JIN YOUNG KIM (NPI# 1922296623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922296623 |
| Entity Type | Individual |
| Full Name | DR. JIN YOUNG KIM |
| Credential | D.D.S. |
| Practice Address |
20657 Golden Springs Dr. Ste. 205b Diamond Bar CA 91789-3837 |
| Practice Telephone | 9098598800 |
| Practice Fax Number | 9098598753 |
| Mailing Telephone | 9098598800 |
| Mailing Fax Number | 9098598753 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
54575 | CA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
54575 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518595784 | Jin Young Kim | Student in an Organized Health Care Education/Training Program | 5617 Shasta Daisy Trl, San Diego, CA 92130-6972 | 2020-04-01 |
| 1518118942 | Jin Young Kim | Pharmacist | 13955 35th Ave Apt 3h, Flushing, NY 11354-3509 | 2008-10-03 |
| 1346794880 | Jin Young Kim | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, 1st Floor, Orthopaedic Surgery,ambulatory Care Building, Louisville, KY 40202-1622 | 2016-08-13 |
| 1396191623 | Jin Young Kim | Anesthesiology | 600 Broadway Ste 270, Seattle, WA 98122-5392 | 2016-05-05 |
| Street Address |
20657 GOLDEN SPRINGS DR. STE. 205B |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91789-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964203 | Dolores A. Lopez | Technician | 335 San Roque Drive, Walnut, CA 91789 | 2019-10-22 |
| 1831754233 | Huei-chen Hsu | Pharmacist | 21590 East Valley Blvd., Walnut, CA 91789 | 2019-05-01 |
| 1114486511 | A Plus Acupuncture | Acupuncturist | 1239 N Grand Ave, Walnut, CA 91789 | 2019-03-14 |
| 1003399106 | Larry Besong | Respiratory Therapist, Registered | 22285 Roundup Dr, Walnut, CA 91789 | 2018-09-13 |
| 1114418837 | Yu Yao Lai | Acupuncturist | 20627 Golden Springs Dr # J, Diamond Bar, CA 91789 | 2018-05-29 |
| 1720575608 | Sonam Patel | Pharmacist | 1533 Parker Canyon Road, Walnut, CA 91789 | 2018-04-17 |
| 1649799206 | Jacquelyn Lising | Dietitian, Registered | 911 Summitview Ct, Walnut, CA 91789 | 2017-09-14 |
| 1497272389 | Jennifer Diaz | Behavior Technician | 539 Castlehill Dr, Walnut, CA 91789 | 2017-08-23 |
| 1952759888 | Laurentino Lozada De Guia Jr. | Dentist | 778 Nogales St., Suite G, Walnut, CA 91789 | 2016-06-01 |
| 1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
| Find all providers in zip 91789 | ||||
| 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 |
|---|---|---|---|---|
| 1679691984 | Hsiu-chin Tsai | Dentist | 824 N Diamond Bar Blvd, Diamond Bar, CA 91765-1039 | 2007-03-26 |
| 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 | DIAMOND BAR |
| Zip Code | 91789 |
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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.