Keon Jung Kim (NPI# 1831265651, PAC ID# 5991071698) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DENTIST.
| Nation Provider ID (NPI) | 1831265651 |
| PAC ID by PECOS | 5991071698 |
| Professional Enrollment ID | I20171025000922 |
| Full Name | Keon Jung Kim |
| Address |
2492 Walnut Ave Suite 200 Tustin CA 92780-6960 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | DENTIST |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2492 Walnut Ave, Suite 200, Tustin, CA 92780-6960 |
| Street Address |
2492 WALNUT AVE SUITE 200 |
| City | TUSTIN |
| State | CA |
| Zip | 92780-6960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Libonati | Physical Therapy | State-of-the-art Physical Therapy, Inc. | 2492 Walnut Ave, Suite 140, Tustin, CA 92780-6953 |
| Reena J Tenorio | Physical Therapy | State-of-the-art Physical Therapy, Inc. | 2492 Walnut Ave, Suite 140, Tustin, CA 92780-6953 |
| Tiffany M Nosse | Physical Therapy | State-of-the-art Physical Therapy, Inc. | 2492 Walnut Ave, Suite 140, Tustin, CA 92780-6953 |
| Daniel A Falchetti | Physical Therapy | State-of-the-art Physical Therapy, Inc. | 2492 Walnut Ave, Suite 140, Tustin, CA 92780-6953 |
| Brian William Wong | Physical Therapy | State-of-the-art Physical Therapy, Inc. | 2492 Walnut Ave, Suite 140, Tustin, CA 92780-6953 |
| Sunil Mapara | Family Medicine | 2492 Walnut Ave, Suite 110, Tustin, CA 92780-6953 | |
| Neringa Kunigonis | Podiatry | Orange County Foot and Ankle Group Inc | 2492 Walnut Ave, Suite 220, Tustin, CA 92780-6960 |
| Amy L Nagele | Physical Therapy | State-of-the-art Physical Therapy, Inc. | 2492 Walnut Ave, Suite 140, Tustin, CA 92780-6953 |
| Nandi D Sundaram | Physical Therapy | State-of-the-art Physical Therapy, Inc. | 2492 Walnut Ave, Suite 140, Tustin, CA 92780-6953 |
| Travis W Tucker | Chiropractic | 2492 Walnut Ave, Suite 260, Tustin, CA 92780-6963 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asmea Judeh | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Jordan L Mayo | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Diego A Kim | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Scott A Locken | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Jessica M Slette | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Robert J Grant | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Shannon R Lee | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Mike Kelly | Nurse Practitioner | Alliance Psychiatric Group Inc A Medical Corporation | 17601 17th St, Suite 120, Tustin, CA 92780-1946 |
| Moses Morar | Nurse Practitioner | Alliance Psychiatric Group Inc A Medical Corporation | 17601 17th St, Suite 120, Tustin, CA 92780-1946 |
| Alexander Tyler Elson | Optometry | 17th Street Optometry Apc | 17300 17th St, Suite M, Tustin, CA 92780-1955 |
| Find all physicians in zip 92780 | |||
| City | TUSTIN |
| Zip Code | 92780 |
| Specialty | DENTIST |
| City + Specialty | TUSTIN + DENTIST |
Please comment or provide details below to improve the information on Keon Jung Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.