Eunice G Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EUNICE G KIM DDS INC

Practice address

1643 N Hacienda Blvd
La Puente, CA 91744-1137

Phone

(213) 505-2075

NPI assigned

Aug 22, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eunice Kim, DDSNPI 1275019143

Title

Ceo

Phone

(213) 505-2075

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eunice Gowoon Kim, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1275019143
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1073231346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WILSHIRE BLVD APT 713",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441137",
            "telephone_number": "213-505-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE G KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-505-2075",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Esparza
• Lance Espiritu, PMHNP-BC
• Brenda Estrada, SLPA
• Elisa Estrada, APCC
• Michelle Estrada
• Evelyn Evans, D.D.S.
• Excel Healthcare, Inc.
• F & M Atiga Inc
• Fairmont Healthcare Corp.
• Diana Oluwakemi Falodun, PHARMD, RPH

• General Practice Dentistry in La Puente, CA
• Providers in La Puente, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.