Young Rae Kim Dental Corp - Medicare Dental Clinic in Anaheim, CA

Young Rae Kim Dental Corp is a medicare enrolled dental clinic (Dentist - General Practice) in Anaheim, California. The current practice location for Young Rae Kim Dental Corp is 937 N Lemon St, Anaheim, California. For appointments, you can reach them via phone at (714) 776-1202. The mailing address for Young Rae Kim Dental Corp is 937 N Lemon St, Anaheim, California and phone number is (714) 776-1202.

Young Rae Kim Dental Corp is licensed to practice in California (license number 59862). The clinic also participates in the medicare program and its NPI number is 1093123770. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 776-1202.

Contact Information

Young Rae Kim Dental Corp
937 N Lemon St
Anaheim
CA 92805-1825
(714) 776-1202
(714) 776-9504

Dental Care Clinic Profile

Full NameYoung Rae Kim Dental Corp
SpecialityDentist
Location937 N Lemon St, Anaheim, California
Authorized Official Name and PositionYoung Rae Kim (CEO)
Authorized Official Contact7147761202
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Young Rae Kim Dental Corp
937 N Lemon St
Anaheim
CA 92805-1825

Ph: (714) 776-1202
Young Rae Kim Dental Corp
937 N Lemon St
Anaheim
CA 92805-1825

Ph: (714) 776-1202

NPI Details:

NPI Number1093123770
Provider Enumeration Date07/25/2014
Last Update Date07/25/2014

Medicare PECOS Information:

Medicare PECOS PAC ID9830469337
Medicare Enrollment IDO20170717000876

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Medical Identifiers

Medical identifiers for Young Rae Kim Dental Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093123770NPI-NPPES
1205137999MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 59862 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Young Rae Kim Dental Corp acts as a billing entity for following providers:
Provider NameYoung Rae Kim
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1205137999
PECOS PAC ID: 0749550242
Enrollment ID: I20170717001052

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