Sae Rom Kim.DDS.Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

52739 Issued in CA

Legal business name

SAE ROM KIM.DDS.INC

Practice address

2300 N Imperial Ave
Calexico, CA 92231-3209

Phone

(760) 357-1632

NPI assigned

Apr 22, 2008

Organization subpart

Yes

Parent organization

SAE ROM KIM.DDS.INCAs reported in NPPES

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

Authorized official

Name

Sae Rom Kim

Title

President

Phone

(760) 357-1632

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Sae Rom Kimddsinc

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1972777829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N IMPERIAL AVE",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922313209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N IMPERIAL AVE",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922313209",
            "telephone_number": "760-357-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAE ROM KIM.DDS.INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAE ROM KIM.DDS.INC",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SAE ROM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-357-1632"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G8975101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Ramon Romo, P.A.-C
• Paula Andrea Rosas
• Karla Marlene Rubio-Ayala, LVN
• Jacqueline Amanda Rubio
• Amara Anai Ruiz
• Safe Med Transportation LLC
• Daniel Samano, M.D.
• Melissa Sanchez
• Olga Lizet Sanchez
• Lazaro Sardin

• Dental Clinic/Center in Calexico, CA
• Providers in Calexico, 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 Apr 22, 2008; 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.