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NPI Lookup from the NPI Registry — National Provider Identifier Database

ERIC KIM, M.D., D.D.S. – NPI #1891828687
Oral & Maxillofacial Surgery


Contact Information

ERIC KIM, M.D., D.D.S.
4980 BARRANCA PKWY
SUITE 190
IRVINE, CA92604-8645
 Phone: 949-453-9797
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Oral & Maxillofacial Surgery

204E00000X
 

Oral and Maxillofacial Surgery

1223S0112X
Indicates primary specialty
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NPI Information for ERIC KIM · (Male)

NPI Number 1891828687
Credentials M.D., D.D.S.
Entity Individual
Enumeration date 03/13/2007
Last updated 08/30/2012 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
CA License # 52624
CA License # A106719
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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