Jessica Junghwa Kim in Loma Linda - General Practice

Jessica Junghwa Kim - NPI 1033365689

Jessica Junghwa Kim is a General Practice in Loma Linda, California. Jessica Junghwa Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessica Junghwa Kim is 1033365689. The last update date is 2011-03-16.

Jessica Junghwa Kim's current location address is 11092 Anderson Street, Loma Linda, California. You can contact this provider via phone number 9095584613 and fax number 9095584192. The mailing address for Jessica Junghwa Kim is 11092 Anderson Street, Loma Linda, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Junghwa Kim
Address 11092 Anderson Street, Loma Linda, California
Phone Number 9095584613
Fax Number 9095584192
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1033365689
Provider Enumeration Date 2008-08-14
Last Updated Date 2011-03-16

Provider Mailing Address Detail

Address 11092 Anderson Street
City Loma Linda
State California (CA)
Post Code 953500001
Phone Number 9095584613
Fax Number 9095584192

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 55009
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
55009 CA STATE LICENSES

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FAQs about Jessica Junghwa Kim

What is the Jessica Junghwa Kim's 1033365689?

The Jessica Junghwa Kim's NPI (National Provider Identifier) Number is 1033365689. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jessica Junghwa Kim is physically located?

The Jessica Junghwa Kim is physically situated at the following address: 11092 Anderson Street, Loma Linda, CA, 953500001.

What is Jessica Junghwa Kim's area of expertise and its corresponding taxonomy classification?

The Jessica Junghwa Kim's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033365689 to Jessica Junghwa Kim?

The Centers for Medicare & Medicaid Services originally issued the 1033365689 to Jessica Junghwa Kim on 2008-08-14.

When was the information pertaining to Jessica Junghwa Kim most recently updated or revised?

The details related to Jessica Junghwa Kim, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-16.

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