Gaminchi and Kim Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43994 Issued in CA

Legal business name

GAMINCHI AND KIM DENTAL CORPORATION

Practice address

15651 Imperial Hwy Ste 105
La Mirada, CA 90638-1600

Phone

(562) 944-4745

Fax

(562) 944-4745

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Emma Kim, D.M.D.NPI 1578631503

Title

Co-Owner

Phone

(562) 944-4745

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bright Dental Corp

  • Dentist
  • Santa Monica, CA
  • NPI 1871961540

  O20150917001378

  Same enrollment

Locations

Practitioners 2

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

• Emma Y. Kim, D.M.D.

  • Dentist
  • Pacific Palisades, CA
  • NPI 1578631503
  Medicare reassignment Authorized official
• Farinoush Gaminchi, D.M.D.

  • Periodontics
  • Santa Monica, CA
  • NPI 1811027006
  Medicare reassignment

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1962549519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 105",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381600",
            "telephone_number": "562-944-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 105",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381600",
            "telephone_number": "562-944-4745",
            "fax_number": "562-944-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMINCHI AND KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "562-944-4745",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43994",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54813",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "41407",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "45238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian Paul Fowler, LMFT
• Melissa Fowler, LCSW
• Friendly Hills Medical Center Pharmacy Inc
• Magdy W Gad, DDS
• Gregory John Galbreath, M.D.
• Marisa Garcia, M.A., BCBA
• Terry Ann Garcia, LCSW
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Marc Gasca, PHARM.D.

• General Practice Dentistry in La Mirada, CA
• Providers in La Mirada, 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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.