Kim, Ji Young

Kim, Ji Young is an sole proprietor health care provider with primary practice located at 3825 Tyler St , Riverside CA 92503-3430. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Kim, Ji Young can be contacted via phone (951) 363-0150.

Contact Information

Primary practice address
3825 Tyler St Riverside CA 92503-3430
Phone: (951) 363-0150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DDS62922 California

Profile Details

NPI number 1821569153
LBN Legal business name Kim, Ji Young
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Aug 10th, 2026 - about 2 months 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.

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