Dr Sarah Soonyoung Kim, DDS in Riverside, CA - Medicare Dentist Provider

Dr Sarah Soonyoung Kim, DDS is a medicare enrolled "Dentist" provider in Riverside, California. Her current practice location is 5225 Canyon Crest Dr Ste 309, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (909) 380-2544.

Dr Sarah Soonyoung Kim is licensed to practice in California (license number 56036) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407048192.

Contact Information

	Dr Sarah Soonyoung Kim, DDS
	5225 Canyon Crest Dr Ste 309, Riverside, CA 92507-6324
	(909) 380-2544
	Not Available

Healthcare Provider's Profile

Full Name	Dr Sarah Soonyoung Kim
Gender	Female
Speciality	Dentist
Location	5225 Canyon Crest Dr Ste 309, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407048192
Provider Enumeration Date: 08/15/2007
Last Update Date: 07/15/2014

Medicare PECOS Information:

PECOS PAC ID: 0648551549
Enrollment ID: I20170109002135

Medical Identifiers

Medical identifiers for Dr Sarah Soonyoung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407048192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	56036 (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. Dr Sarah Soonyoung 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 Address	Practice Location Address
Dr Sarah Soonyoung Kim, DDS 11467 Via Capri, Loma Linda, CA 92354-3853 Ph: (310) 614-3593	Dr Sarah Soonyoung Kim, DDS 5225 Canyon Crest Dr Ste 309, Riverside, CA 92507-6324 Ph: (909) 380-2544

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Dentist in Riverside, CA

Dr. Kyungsin Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 285 E Alessandro Blvd, Ste 7d, Riverside, CA 92508 Phone: 951-780-9800 Fax: 951-780-3267
Han Som Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3457 Arlington Ave Ste 109, Riverside, CA 92506 Phone: 951-742-5208
Dr. Vivian Okhee Kwon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2955 Van Buren Blvd, Ste H4, Riverside, CA 92503 Phone: 951-689-8544 Fax: 951-689-2465
Dr. Osbalda Dominga Reina, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4959 Arlington Ave Ste H, Riverside, CA 92504 Phone: 951-299-7101 Fax: 951-299-7101
Dr. Armound Mahmoudi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10168 Indiana Ave, Riverside, CA 92503 Phone: 951-352-9747 Fax: 951-352-2316
Liviu Florian Eftimie, D.D.S, M.S., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3763 Tibbetts St, Riverside, CA 92506 Phone: 951-799-4911 Fax: 951-778-0799
Manuel Humberto Guevara, DDS,MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3679 Arlington Ave, Riverside, CA 92506 Phone: 951-683-1811 Fax: 951-782-0649

Dr Sarah Soonyoung Kim, DDS - Medicare Dentist in Riverside, CA