Kim, Jae Eun

Kim, Jae Eun is an sole proprietor health care provider with primary practice located at 8819 Whittier Blvd Ste 102 , Pico Rivera CA 90660-2673. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Kim, Jae Eun can be contacted via phone (562) 699-1000.

Contact Information

Primary practice address
8819 Whittier Blvd Ste 102 Pico Rivera CA 90660-2673
Phone: (562) 699-1000
Fax: (562) 699-1099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 104068 California
Dental Providers / General Practice 1223G0001X 104068 California

Profile Details

NPI number 1285287110
LBN Legal business name Kim, Jae Eun
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2019
Last updated Apr 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285287110 NPPES
California Other 104068 AVAILITY
California MEDICAID 104068 AVAILITY

Popular Providers