Lucio Hyun-Chong Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

46277 Issued in CA

Practice address

620 E Glenoaks Blvd
Suite a
Glendale, CA 91207-1768

Phone

(818) 242-3739

Fax

(818) 548-9537

NPI assigned

Feb 10, 2009

Last updated

Feb 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lucio H Kim DDS

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1811454481
  NPD (past) Authorized official

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1700025020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E GLENOAKS BLVD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071768",
            "telephone_number": "818-242-3739",
            "fax_number": "818-548-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E GLENOAKS BLVD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071768",
            "telephone_number": "818-242-3739",
            "fax_number": "818-548-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LUCIO",
        "middle_name": "HYUN-CHONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Park Kim, M.D.
• Jia Kim
• Julia Kim, DO
• Julie Kim, OTR/L
• Jungeun Kim, NP
• Margret Gopez Kim, P.T.
• Mee Yung Kim, DMD
• Meeyoung J. Kim, D.D.S.
• Nahee Kim, PHARMD
• Richard Earl Kim, MD

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.