Jonathan Kim, DDS

Dentist · Beaumont, CA

Individual Active NPI

NPI number 1982152534

Practice location

1620 E 2ND St Ste a
Beaumont, CA 92223-3171
Phone
(951) 769-9131

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NPI record

NPI
1982152534
Entity type
Individual (Type 1)
Enumeration date
September 13, 2016
Last updated
September 13, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 100850 CA

Mailing address

11365 Boone Way
Loma Linda, CA 92354-3885

About Dr. Kim

Jonathan Kim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1620 E 2ND St Ste a, Beaumont, CA 92223-3171. The NPI number 1982152534 was assigned on September 13, 2016 and the record was last updated on September 13, 2016.

Dr. Kim lists a license in the registry: #100850 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Kim, DDS?

The NPI number is 1982152534.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (951) 769-9131.

Where is Dr. Kim located?

1620 E 2ND St Ste a, Beaumont, CA 92223-3171.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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