Michael Jong-gyu Kim, DDS - Medicare Dentist in San Juan Capistrano, CA

Michael Jong-gyu Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in San Juan Capistrano, California. His current practice location is 27382 Calle Arroyo, San Juan Capistrano, California. You can reach out to his office (for appointments etc.) via phone at (949) 218-6888.

Michael Jong-gyu Kim is licensed to practice in California (license number 101618) 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 1174945273.

Contact Information

Michael Jong-gyu Kim, DDS
27382 Calle Arroyo,
San Juan Capistrano, CA 92675-2746
(949) 218-6888
Not Available



Healthcare Provider's Profile

Full NameMichael Jong-gyu Kim
GenderMale
SpecialityDentist - General Practice
Location27382 Calle Arroyo, San Juan Capistrano, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174945273
  • Provider Enumeration Date: 01/09/2014
  • Last Update Date: 11/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8921309477
  • Enrollment ID: I20190307000814

Medical Identifiers

Medical identifiers for Michael Jong-gyu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174945273NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 101618 (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. Michael Jong-gyu 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
Michael Jong-gyu Kim, DDS
27382 Calle Arroyo,
San Juan Capistrano, CA 92675-2746

Ph: (949) 218-6888
Michael Jong-gyu Kim, DDS
27382 Calle Arroyo,
San Juan Capistrano, CA 92675-2746

Ph: (949) 218-6888

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Dentist in San Juan Capistrano, CA

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Dr. Katalin C Janosi-fair,
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Phone: 949-218-3607    Fax: 949-218-3609
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Medicare: Not Enrolled in Medicare
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Phone: 949-240-2030    Fax: 949-429-7627
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Medicare: Not Enrolled in Medicare
Practice Location: 32282 Camino Capistrano, San Juan Capistrano, CA 92675
Phone: 949-496-4402    Fax: 949-496-1106
Dr. Maryam Ekhtiar, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 31897 Del Obispo St, Suite 100, San Juan Capistrano, CA 92675
Phone: 949-487-0284    Fax: 949-487-0294
Dr. Milan Hamar, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 31242 Calle San Pedro, San Juan Capistrano, CA 92675
Phone: 949-240-7809    

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