Diana Kim DDS a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIANA KIM DDS A DENTAL CORPORATION

Practice address

117 W Willow St Ste a
Pomona, CA 91768-1829

Phone

(909) 622-8818

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Yasmina Medina

Title

Secretary

Phone

(909) 586-0672

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, and the practitioner matching its NPPES authorized official.

• Diana Maria Kim

  • Dentist
  • Colton, CA
  • NPI 1861957870
  NPD

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1295386720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W WILLOW ST STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W WILLOW ST STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681829",
            "telephone_number": "909-622-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA KIM DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "YASMINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "909-586-0672"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinod K Dhawan, MD
• Adam Joseph Diab
• Julia B Diamant
• Diamond Pediatric Medical Group
• Lynne Marie Diamond, MD
• Victoria Diaz Diaz
• Marimar Diaz Melendez
• Valerie Monique Diaz-Anguiano
• Jesus Diaz-Ceja
• Aaron Miranda Diaz, LMFT

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, 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 Sep 25, 2019; 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.