Soyoung L. Kim DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57133 Issued in CA

Legal business name

SOYOUNG L. KIM DDS, INC

Practice address

1374 W Foothill Blvd
2E
Rialto, CA 92376-4621

Phone

(909) 874-7444

Fax

(909) 874-7453

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Soyoung L Kim, DDS

Title

President

Phone

(909) 874-7444

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.

• Sun Young Sohn, DDS

  • Dentist
  • Rialto, CA
  • NPI 1295201085
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1992173843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 W FOOTHILL BLVD",
            "address_2": "2E",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764621",
            "telephone_number": "909-874-7444",
            "fax_number": "909-874-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 W FOOTHILL BLVD",
            "address_2": "2E",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764621",
            "telephone_number": "909-874-7444",
            "fax_number": "909-874-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOYOUNG L. KIM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOYOUNG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-874-7444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Solomon
• Diana Solorio
• Mariam Medhat Sorial, PA
• Lupita Isabel Sotelo
• Sun Chung Soung, M.D.
• Spark of Hope Care Inc,
• Special Angels Group Facilities, Inc
• Richard Spicer
• Jessica St. Jules, PA- C
• Tarnia Shabid Stanley

• General Practice Dentistry in Rialto, CA
• Providers in Rialto, 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 9, 2015; 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.