Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 39025 | CA |
NPI | 1003950627 |
---|---|
Provider Name | Dr. Rose E Kim |
First Address | Valencia, CA 91355-4011 |
Second Address | Valencia, CA 91355-4011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 05/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273749 | UNITED CONCORDIA (01) | CA |
954652626 | AETNA (01) | CA |
954652626 | ANTHEM (01) | CA |
954652626 | ASSURANT EMPLOYEE BENEFIT (01) | CA |
954652626 | BLUE CROSS (01) | CA |
954652626 | BLUE SHIELD (01) | CA |
954652626 | CARPENTERS HEALTH & WELFA (01) | CA |
954652626 | CONNECTICUT GENERAL (01) | CA |
954652626 | CORE SOURCE (01) | CA |
954652626 | DELTA DENTAL (01) | CA |
954652626 | DELTA USA (01) | CA |
954652626 | EBA (01) | CA |
954652626 | FORTIS (01) | CA |
954652626 | GENWORTH FINANCIAL (01) | CA |
954652626 | GOLDEN WEST (01) | CA |
954652626 | MET LIFE (01) | CA |
954652626 | PACIFIC CARE (01) | CA |
954652626 | UNITED HEALTHCARE (01) | CA |
954652626 | WASHINGTON DENTAL SERVICE (01) | CA |