Taeyoung Kim, - Dentist in San Diego, CA

Taeyoung Kim, is a Dentist - General Practice based in San Diego, California. Taeyoung Kim is licensed to practice in California (license number 60695) and her current practice location is 15731 Bernardo Heights Pkwy, Suite 101, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (858) 674-6813.

NPI number for Taeyoung Kim is 1043580079 and her current mailing address is 2860 Michelle Fl 2, Irvine, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043580079.

Contact Information

Taeyoung Kim,
15731 Bernardo Heights Pkwy, Suite 101,
San Diego, CA 92128-3156
(858) 674-6813
(858) 674-9792



Healthcare Provider's Profile

Full NameTaeyoung Kim
GenderFemale
SpecialityDentist - General Practice
Location15731 Bernardo Heights Pkwy, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043580079
  • Provider Enumeration Date: 01/06/2012
  • Last Update Date: 01/06/2012

Medical Identifiers

Medical identifiers for Taeyoung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043580079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 60695 (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. Taeyoung 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 AddressPractice Location Address
Taeyoung Kim,
2860 Michelle Fl 2,
Irvine, CA 92606-1008

Ph: (714) 368-2077
Taeyoung Kim,
15731 Bernardo Heights Pkwy, Suite 101,
San Diego, CA 92128-3156

Ph: (858) 674-6813

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› Verified 6 days ago


Dentist in San Diego, CA

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Medicare: Not Enrolled in Medicare
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Phone: 858-581-3641    Fax: 858-581-6135

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