Youngbae Kim is a General Practice in La, California. Youngbae Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Youngbae Kim is 1962664862. The last update date is 2016-05-10.
Youngbae Kim's current location address is 903 South Crenshaw Blvd, La, California. You can contact this provider via phone number 3239304800 and fax number 3239304801. The mailing address for Youngbae Kim is 903 South Crenshaw Blvd, La, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Youngbae Kim |
|---|---|
| Address | 903 South Crenshaw Blvd, La, California |
| Phone Number | 3239304800 |
| Fax Number | 3239304801 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962664862 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2016-05-10 |
Provider Mailing Address Detail
| Address | 903 South Crenshaw Blvd |
|---|---|
| City | La |
| State | California (CA) |
| Post Code | 90019 |
| Phone Number | 3239304800 |
| Fax Number | 3239304801 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 48624 |
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Definition: 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. |
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What is the unique 10-digit identifier code issued to Youngbae Kim by the Centers for Medicare & Medicaid Services?
The Youngbae Kim has been assigned the NPI (National Provider Identifier) 1962664862 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Youngbae Kim's facilities are geographically located?
The facilities of Youngbae Kim are physically situated at the following location: 903 South Crenshaw Blvd, La, CA, 90019.
What is the area of specialization for Youngbae Kim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Youngbae Kim is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962664862 to Youngbae Kim?
The Youngbae Kim received its 1962664862 assignment from the Centers for Medicare & Medicaid Services on 2008-07-01.
When was the information regarding Youngbae Kim, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Youngbae Kim, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-05-10.