Augustine Sang Kim, DDS - Medicare Dentist in Irvine, CA

Augustine Sang Kim, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Irvine, California. His current practice location is 18 Glorieta W, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (213) 434-4332.

Augustine Sang Kim is licensed to practice in California (license number 59592) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245545375.

Contact Information

Augustine Sang Kim, DDS
18 Glorieta W,
Irvine, CA 92620-1850
(213) 434-4332
Not Available



Healthcare Provider's Profile

Full NameAugustine Sang Kim
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location18 Glorieta W, Irvine, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245545375
  • Provider Enumeration Date: 08/12/2010
  • Last Update Date: 08/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8224396080
  • Enrollment ID: I20171227002689

Medical Identifiers

Medical identifiers for Augustine Sang Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245545375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 59592 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Augustine Sang Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Augustine Sang Kim, DDS
18 Glorieta W,
Irvine, CA 92620-1850

Ph: (213) 434-4332
Augustine Sang Kim, DDS
18 Glorieta W,
Irvine, CA 92620-1850

Ph: (213) 434-4332

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