Young Rae Kim Dental Corp

LBN: Young Rae Kim Dental Corp
Young Rae Kim Dental Corp is an health care organization with primary practice located at 937 N Lemon St , Anaheim CA 92805-1825. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Young Rae Kim Dental Corp can be contacted via phone (714) 776-1202, or through Kim, Young Rae via phone (714) 776-1202.

Contact Information

Primary practice address
937 N Lemon St Anaheim CA 92805-1825
Phone: (714) 776-1202
Fax: (714) 776-9504
Website:
Map and Directions
Authorized official contact:
Name: Kim, Young Rae Doctor of Dental Surgery (DDS)
Phone: (714) 776-1202

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 59862 California

Profile Details

NPI number 1093123770
LBN Legal business name Young Rae Kim Dental Corp
DBA Doing business as
Authorized official Kim, Young Rae Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2014
Last updated Jul 25th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093123770 NPPES
California MEDICAID 1205137999

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