Jung Hyeb Sim is a Dentist in Carson, California. Jung Hyeb Sim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jung Hyeb Sim is 1134254683. The last update date is 2007-07-08.
Jung Hyeb Sim's current location address is 602 W Sepulveda Blvd, Carson, California. You can contact this provider via phone number 3108303338 and fax number 3108303339. The mailing address for Jung Hyeb Sim is 602 W Sepulveda Blvd, Carson, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jung Hyeb Sim |
|---|---|
| Address | 602 W Sepulveda Blvd, Carson, California |
| Phone Number | 3108303338 |
| Fax Number | 3108303339 |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1134254683 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 602 W Sepulveda Blvd |
|---|---|
| City | Carson |
| State | California (CA) |
| Post Code | 907456319 |
| Phone Number | 3108303338 |
| Fax Number | 3108303339 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 50371 |
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Definition: 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: denti |
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What is the unique identification code assigned to Jung Hyeb Sim by the Centers for Medicare & Medicaid Services?
The Jung Hyeb Sim has been issued the NPI (National Provider Identifier) 1134254683. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jung Hyeb Sim?
The Jung Hyeb Sim is physically situated at 602 W Sepulveda Blvd, in the city of Carson, state of CA, with the postal code 907456319.
What is the Jung Hyeb Sim's area of specialization and corresponding taxonomy classification?
The Jung Hyeb Sim's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Jung Hyeb Sim receive the assignment of its 1134254683 from the Centers for Medicare & Medicaid Services?
The Jung Hyeb Sim was issued its 1134254683 by the Centers for Medicare & Medicaid Services on 2007-02-23.
When was the information pertaining to Jung Hyeb Sim most recently updated or revised?
The details related to Jung Hyeb Sim, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1932102142
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