Dr Ellen Wonsun Im, DDS - Dentist in Poway, CA

Dr Ellen Wonsun Im, DDS is a Dentist - Pediatric Dentistry based in Poway, California. Dr Ellen Wonsun Im is licensed to practice in California (license number 63073) and her current practice location is 13422 Pomerado Rd Ste 201, Poway, California. She can be reached at her office (for appointments etc.) via phone at (410) 644-4100.

NPI number for Dr Ellen Wonsun Im is 1023029220 and her current mailing address is 13422 Pomerado Rd, Suite 201, Poway, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023029220.

Contact Information

Dr Ellen Wonsun Im, DDS
13422 Pomerado Rd Ste 201,
Poway, CA 92064-3548
(410) 644-4100
Not Available



Healthcare Provider's Profile

Full NameDr Ellen Wonsun Im
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location13422 Pomerado Rd Ste 201, Poway, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023029220
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 05/10/2021

Medical Identifiers

Medical identifiers for Dr Ellen Wonsun Im such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023029220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 63073 (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 Ellen Wonsun Im 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 AddressPractice Location Address
Dr Ellen Wonsun Im, DDS
13422 Pomerado Rd, Suite 201,
Poway, CA 92064

Ph: (858) 679-6660
Dr Ellen Wonsun Im, DDS
13422 Pomerado Rd Ste 201,
Poway, CA 92064-3548

Ph: (410) 644-4100

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› Verified 5 days ago


Dentist in Poway, CA

Dr. Harrison D Fortney, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12630 Monte Vista Rd Ste 205, Poway, CA 92064
Phone: 858-485-1290    Fax: 858-675-7485
Dr. Rebecca Pilar Mirasol Cataquiz, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 13132 Poway Rd, Ste. B, Poway, CA 92064
Phone: 858-486-2925    Fax: 858-486-2933
Roger Trong Tran, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12915 Pomerado Rd, Poway, CA 92064
Phone: 858-748-5100    
Dr. Robert Jeffrey Marcus, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12630 Monte Vista Rd, # 109, Poway, CA 92064
Phone: 858-675-2285    Fax: 858-675-9015
Dr. Steven Robert Zisook, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 14361 Twisted Branch Rd, Poway, CA 92064
Phone: 858-312-1900    Fax: 858-312-1900
Dr. Erela Katz Rappaport, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15706 Pomerado Rd, Suite 205, Poway, CA 92064
Phone: 858-726-5554    Fax: 858-487-4281

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