Kim and Gandhi Kim Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

58103 Issued in CA

Legal business name

KIM AND GANDHI KIM DENTAL CORPORATION

Practice address

5881 Pine Ave, Suite B
Chino Hills, CA 91709

Phone

(415) 608-2837

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Jin Y. Kim, DDS, MS

Title

Orthodontist

Phone

(415) 608-2837

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1083030092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 PINE AVE, SUITE B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "415-608-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 PINE AVE, SUITE B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "415-608-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND GANDHI KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "415-608-2837",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56935",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wajiha Khan, MD
• Maral Khazali, DDS
• Duaa Kheirieh, PSYD
• Neha Khushalani
• Doris A.K. Kilzi, PHARM D
• Alex Kim, MSN, RN, FNP-C
• Benneth Bundit Kim, PT, DPT
• Jeffrey Kim, DDS
• Jenny Kim
• Jin Young Kim, DDS, MS

• Dental Clinic/Center in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.