Luis Woong-Jin Kim in Albany - Periodontics
Luis Woong-Jin Kim - NPI 1134342025
Luis Woong-Jin Kim is a Periodontics in Albany, California. Luis Woong-Jin Kim practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Luis Woong-Jin Kim is 1134342025. The last update date is 2008-07-18.
Luis Woong-Jin Kim's current location address is 901 Ventura Ave, Albany, California. You can contact this provider via phone number 5105261757 and fax number 5105263397. The mailing address for Luis Woong-Jin Kim is 901 Ventura Ave, Albany, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis Woong-Jin Kim |
|---|---|
| Address | 901 Ventura Ave, Albany, California |
| Phone Number | 5105261757 |
| Fax Number | 5105263397 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1134342025 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2008-07-18 |
Provider Mailing Address Detail
| Address | 901 Ventura Ave |
|---|---|
| City | Albany |
| State | California (CA) |
| Post Code | 947072122 |
| Phone Number | 5105261757 |
| Fax Number | 5105263397 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 50151 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 412170551 | CA | TAX I.D. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Luis Woong-Jin Kim?
The Luis Woong-Jin Kim has been issued the NPI (National Provider Identifier) 1134342025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Luis Woong-Jin Kim is physically located?
The Luis Woong-Jin Kim is situated at the following address: 901 Ventura Ave, Albany, CA 947072122.
What is the Luis Woong-Jin Kim's area of specialization and corresponding taxonomy classification?
The Luis Woong-Jin Kim's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When did the Luis Woong-Jin Kim receive its 1134342025?
The Luis Woong-Jin Kim was issued its 1134342025 on 2007-04-10, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Luis Woong-Jin Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Luis Woong-Jin Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-18.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA