Organization · NPI-2

A.S. Kim DDS, INC.

Dentist, General Practice · San Diego, CA

NPI number1730639188
StatusActive
Last updated in NPPESApr 26, 2021

Details

NPI
1730639188
Entity type
Organization (NPI-2)
Legal business name
A.S. Kim DDS, INC.
Organization subpart
No
Enumeration date
Oct 10, 2016
Certification date
Apr 26, 2021
Last updated
Apr 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice55536CAYes

Other names

  • Village Hillcrest Dental (Doing Business As)

Practice location

501 Washington St Ste 740
San Diego, CA 92103-2231

Phone 619-296-2172

Mailing address

3915 La Cresta Way
Bonita, CA 91902-2575

Phone 734-657-9694 · Fax 619-296-2178

Other practice locations

920 Washington St
San Diego, CA 92103-2208

Phone 619-296-6136

Authorized official

Anne Sooyun Kim
Ceo
7346579694

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in San Diego, CA