Sophia Kim, DDS in Perris, CA - Medicare Dentist Provider

Sophia Kim, DDS is a medicare enrolled "Dentist" provider in Perris, California. Her current practice location is 126 Avocado Ave Ste 202, Perris, California. You can reach out to her office (for appointments etc.) via phone at (951) 940-0202.

Sophia Kim is licensed to practice in California (license number 61510) 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 1629324439.

Contact Information

	Sophia Kim, DDS
	126 Avocado Ave Ste 202, Perris, CA 92571-2605
	(951) 940-0202
	Not Available

Healthcare Provider's Profile

Full Name	Sophia Kim
Gender	Female
Speciality	Dentist
Location	126 Avocado Ave Ste 202, Perris, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629324439
Provider Enumeration Date: 07/30/2012
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 4284080334
Enrollment ID: I20231025001838

Medical Identifiers

Medical identifiers for Sophia Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629324439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	61510 (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. Sophia 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
Sophia Kim, DDS 2120 S Glenwood Ave, Colton, CA 92324-4802 Ph: (909) 809-8873	Sophia Kim, DDS 126 Avocado Ave Ste 202, Perris, CA 92571-2605 Ph: (951) 940-0202

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Dentist in Perris, CA

Dr. Alexander Joseph Magallanes, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 330 E 4th St, Perris, CA 92570 Phone: 909-380-5443 Fax: 951-940-5853
Mr. Daniel Lynn Hulse, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1675 N Perris Blvd Ste A1, Perris, CA 92571 Phone: 949-360-9700 Fax: 949-362-5182
Dr. Chung Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 E 4th St Ste A, Perris, CA 92570 Phone: 951-657-3102 Fax: 951-657-7783
Liliana Angelina Perleche Urbano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 85 Ramona Expy, Ste #7, Perris, CA 92571 Phone: 951-943-7171 Fax: 951-943-6366
Tshristi Rijal, Dentist Medicare: Medicare Enrolled Practice Location: 1688 N Perris Blvd Bldg S, Perris, CA 92571 Phone: 951-688-9363
Tien Tran, Dentist Medicare: Not Enrolled in Medicare Practice Location: 21091 Rider St., Suite 203, Perris, CA 92570 Phone: 951-322-4058
Cheerag Amin, Dentist Medicare: Medicare Enrolled Practice Location: 3150 Case Rd Bldg C, Perris, CA 92570 Phone: 951-345-4386

Sophia Kim, DDS - Medicare Dentist in Perris, CA