Dr Susan Ji Hyun Kim, DDS in Lake View Terrace, CA - Dentist

Dr Susan Ji Hyun Kim, DDS is a Dentist based in Lake View Terrace, California. Dr Susan Ji Hyun Kim is licensed to practice in California (license number 48731) and her current practice location is 11998 Foothill Blvd., Lake View Terrace, California. She can be reached at her office (for appointments etc.) via phone at (818) 897-5055.

NPI number for Dr Susan Ji Hyun Kim is 1184799702 and her current mailing address is 11998 Foothill Blvd., Lake View Terrace, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184799702.

Contact Information

	Dr Susan Ji Hyun Kim, DDS
	11998 Foothill Blvd., Lake View Terrace, CA 91342-7101
	(818) 897-5055
	(818) 897-0218

Healthcare Provider's Profile

Full Name	Dr Susan Ji Hyun Kim
Gender	Female
Speciality	Dentist
Location	11998 Foothill Blvd., Lake View Terrace, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1184799702
Provider Enumeration Date: 11/21/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Susan Ji Hyun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184799702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	48731 (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 Susan Ji Hyun Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Susan Ji Hyun Kim, DDS 11998 Foothill Blvd., Lake View Terrace, CA 91342-7101 Ph: (818) 897-5055	Dr Susan Ji Hyun Kim, DDS 11998 Foothill Blvd., Lake View Terrace, CA 91342-7101 Ph: (818) 897-5055

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Dr Susan Ji Hyun Kim, DDS - Dentist in Lake View Terrace, CA