Sue Young Kim, DDS in Torrance, CA - Medicare Dentist Provider

Sue Young Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in Torrance, California. Her current practice location is 1515 Crenshaw Blvd, Torrance, California. You can reach out to her office (for appointments etc.) via phone at (310) 212-0777.

Sue Young Kim is licensed to practice in California (license number 50767) 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 1194184804.

Contact Information

	Sue Young Kim, DDS
	1515 Crenshaw Blvd, Torrance, CA 90501-2436
	(310) 212-0777
	Not Available

Healthcare Provider's Profile

Full Name	Sue Young Kim
Gender	Female
Speciality	Dentist - General Practice
Location	1515 Crenshaw Blvd, Torrance, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194184804
Provider Enumeration Date: 02/23/2016
Last Update Date: 02/23/2016

Medicare PECOS Information:

PECOS PAC ID: 4284930843
Enrollment ID: I20160308000504

Medical Identifiers

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

Identifier	Type	State	Issuer
1194184804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	50767 (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. Sue Young 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
Sue Young Kim, DDS 6053 E Jack Pine Ln, Orange, CA 92869-1542 Ph: (213) 700-9627	Sue Young Kim, DDS 1515 Crenshaw Blvd, Torrance, CA 90501-2436 Ph: (310) 212-0777

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Dentist in Torrance, CA

Dr. Shen Ling, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 23244 Hawthorne Blvd, Torrance, CA 90505 Phone: 310-373-8520 Fax: 310-373-0621
Dr. Byron Chew Chan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21320 Hawthorne Boulevard, 219, Torrance, CA 90503 Phone: 310-543-2555 Fax: 310-543-2556
Mona Nejad, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4305 Torrance Blvd Ste 103, Torrance, CA 90503 Phone: 310-542-5155
Dr. Dong K Kim, Dentist Medicare: Medicare Enrolled Practice Location: 1757 W Carson St, Suite E, Torrance, CA 90501 Phone: 310-787-1233
Dr. Henry Shih-hung Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23000 Crenshaw Blvd, Ste.102, Torrance, CA 90505 Phone: 310-534-2469 Fax: 310-534-2402
Dr. Scott K Turchi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 23456 Hawthorne Blvd, Suite 210, Torrance, CA 90505 Phone: 310-378-4277 Fax: 310-378-3814
Dr. Shahram - Fozoonmehr, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1455 Crenshaw Blvd, #180, Torrance, CA 90501 Phone: 310-328-0250 Fax: 310-328-8651

Sue Young Kim, DDS - Medicare Dentist in Torrance, CA