Active NPIOrganization

A.s. Kim DDS, INC.

Dentist, General Practice in San Diego, California

NPI Number1730639188
Practice location
501 Washington St Ste 740, San Diego, CA 92103-2231
Fax
—
Last updated
April 26, 2021

A.s. Kim DDS, INC. is a healthcare organization based in San Diego, CA. The NPI number for A.s. Kim DDS, INC. is 1730639188 and holds license No. 55536 (CA). The current practice location address is 501 Washington St Ste 740, San Diego, CA 92103-2231 and the office can be reached by phone at 619-296-2172. The NPI was assigned on October 10, 2016 and the record was last updated in NPPES on April 26, 2021.

●Provider Profile Details

NPI Number
1730639188
Provider Name
A.s. Kim DDS, INC.
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Anne Sooyun Kim, DDS · Ceo · 734-657-9694
Enumeration Date
October 10, 2016
Last Update Date
April 26, 2021
Certification Date
April 26, 2021
NPI Status
Active
Other Names
Village Hillcrest Dental (Doing Business As)

◉Business Practice Location Address

Address
501 Washington St Ste 740
San Diego, CA 92103-2231
ZIP
92103-2231
Country
US
Phone Number
619-296-2172

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✉Business Mailing Address

Address
3915 La Cresta Way
Bonita, CA 91902-2575
City
Bonita
State
CA
ZIP
91902-2575
Phone Number
734-657-9694
Fax Number
619-296-2178

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice
193400000X - Single Specialty Group
1223G0001XYes55536CA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of A.s. Kim DDS, INC.?

The NPI number of A.s. Kim DDS, INC. is 1730639188. It was assigned on October 10, 2016 and is currently active in the NPPES registry.

What is the specialty of A.s. Kim DDS, INC.?

A.s. Kim DDS, INC. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. 55536 (CA).

Where does A.s. Kim DDS, INC. practice?

The practice location is 501 Washington St Ste 740, San Diego, CA 92103-2231. The office can be reached at 619-296-2172 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730639188 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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