Lucio H Kim DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LUCIO H KIM DDS

Practice address

620 E Glenoaks Blvd Ste a
Glendale, CA 91207-1769

Phone

(818) 242-3739

Fax

(818) 548-9537

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

Lucio H Kim, DDSNPI 1700025020

Title

Provider/Doctor

Phone

(818) 242-3739

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lucio Hyun-Chong Kim, DDS

  • Dentist
  • Glendale, CA
  • NPI 1700025020
  NPD (past) Authorized official

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1811454481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E GLENOAKS BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071769",
            "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 STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071769",
            "telephone_number": "818-242-3739",
            "fax_number": "818-548-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIO H KIM DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LUCIO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PROVIDER/DOCTOR",
        "authorized_official_telephone_number": "818-242-3739",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afton Lucas, MFT
• Lucent Home Health
• Lucent Medical Imaging, a Medical Corporation
• Luis E. Lucero, PH.D.
• Lucid Home Health Inc.
• Luga Home Health Care Services, Inc
• Luga Hospice Care, Inc.
• Diana Lui, OTR/L
• Luis a Perez MD Inc
• Luis M. Albert, M.D., Inc.

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Mar 1, 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.