NPI 1306361845 · live from the CMS NPI Registry
Eugene Y Kim, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Irvine, CA. National Provider Identifier 1306361845, active.
NPI record
| NPI | 1306361845 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4950 Barranca Pkwy Ste 105, Irvine, CA 92604 |
| Practice phone | 949-551-4242 |
| Mailing address | 18605 Cecelia Way, Cerritos, CA 90703 |
| Enumerated | August 5, 2017 |
| Last updated | August 26, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 6831 (NV) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 104751 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.